DR.RAMYA APPANRAJ

DR. SARAVANAN V.R., DR. MADANAGOPALAN V. GOVINDARAJAN

Abstract

Vitreo retina surgery in myopic eyes – an overview

Aim : To give a complete overview about vitreo retinal surgeries in myopic eyes.

Method : Myopic eyes are more prone for retinal diseases like retinal detachment, myopic macular hole, vitreo macular traction. All these conditions warrants surgical management. Though vitreo retinal surgery is commonly performed surgery , performing surgery in myopic eyes are quiet challenging due to long axial length, posterior staphyloma, vitreo schisis and foveal schisis and needs few modifications like planning the position of trocar insertion more posterior and need of few special instruments like myopic forceps and special staining like ICG due to poor contrast. RD secondary to myopic macular hole is yet another challenge and use of ILM flap , lens capsule implantation and retinal autograft are the options available.

Conclusion : Understanding the anatomy of myopic eyes and modifications of surgical techniques favours better outcome.