optical coherence tomography findings in highly myopic eyes following cataract surgery

purpose : to study optical coherence tomography (oct) findings in high myopic patients with the history of uncomplicated cataract surgery methods : the sample included 34 eyes of 24 highly myopic patients with an axial length (al) of 26 mm or more and a spherical equivalent (se) of 8.0 diopter (d) or more who had uncomplicated phacoemulsification cataract surgery. octs were done in multiple sections around optic disc and fovea. results : the mean age of the 24 patients was 58.9±12.9 years, and the mean se was 14.5±5.8 d. the mean time gap between cataract surgery and oct studies was 15.6±18 months, and the mean al was 29.1±2.1 mm. the most common oct findings were vascular microfolds (67.6%) and paravascular retinal cysts (64.7%). vascular microfolds were found significantly associated with age. internal limiting membrane (ilm) detachment was significantly associated with gender (female group). peripapillary choroidal cavitation had a significant direct association with postoperative elapsed time in all ages. conclusion : vascular microfolds and paravascular retinal cysts are the most common pathologies in myopic (aphakic and pseudophakic) persons. ilm detachment is more common in females. peripapillay cavitation incidence is associated with postoperative elapsed time.      iranian journal of ophthalmology 201123(4):49-54 © 2011 by the iranian society of ophthalmology