Surgical Approaches for Complications of PM

Surgical indication for the complications of pathologic myopia in eyes with high myopia will be myopic traction maculopathy with progression or with foveal detachment, macular hole, and macular hole retinal detachment. Most often these complications when indicated will be treated by vitrectomy. The term vitrectomy is used by extension for all intraocular surgeries that include vitrectomy. Vitrectomy in these highly myopic eyes has its own particularities to increase chance of success but also to reduce complications. Intraoperative OCT is a useful tool for the management of ILM peeling or detecting intraoperative macular hole formation after ILM peeling.