Abstract
This study investigated the effect of posterior scleral reinforcement for high myopia macular splitting in 15 patients with high myopia and macular splitting (20 eyes), including three eyes with shallow retinal detachment. Main outcome measures included best-corrected visual acuity, refractive error, axial length, optical coherence tomography (OCT) findings and post-surgical complications. Best-corrected visual acuity, myopial dioptres and axial length reduced significantly post-surgery. The OCT findings showed different degrees of reduction in the split-cavity between inner and outer retinal layers, and that retinal thickness declined significantly post-operatively. No serious complications were observed. Posterior scleral reinforcement was effective, with a good safety profile, for patients with high myopia macular splitting with or without retinal detachment.