DR. GITANJLI SOOD

, DR. SANDEEP MAHAJAN

Abstract

Retinal detachment in pathological myopia has unique challenges: higher axial length makes, thinned out retina , multiple atropic breaks and deep staphyloma. We present a case of 55 year-old-male with bilateral pathological myopia who underwent bilateral cataract surgery 25 years ago. Right eye was the better seeing eye and developed total retinal detachment with vision of perception of light. Left eye had retained cortical matter with best corrected visual acuity (BCVA) 6/60. His axial length was 28.9mm(RE) with detached retina and 30.6 mm(LE). We performed scleral imbrication followed by vitrectomy; along with fluid-air exchange and endolaser. Post-operatively we noted the retina was attached and scleral indentation in the temporal quadrant. The BCVA at 6 months was 6/60. Scleral imbrication leads to scleral shortening and decrease in axial length with shallowing of staphyloma.