Dr.Ruchir Tewari, T16586
Purpose: To describe the safety and efficacy of posteriorly shifted single scleral port for managing retinal detachments in patients with high myopia.
Methods: 5 eyes of 5 patients with high myopia and RRD underwent 25G PPV by a single surgeon. After making two standard scleral ports, the third port was made just anterior to the ora serrata under wide angle visualisation. Distance from the limbus was noted. Regular surgical steps were completed and port site scleral indentation was performed at the end to look for peripheral retinal breaks.
Results: The mean axial length was 32 mm. 2 eyes were phakic, 2 were pseudophakic and 1 was aphakic. The average distance of the dominant port from limbus was 5.8 mm. No eye had a lens touch. No port site breaks were seen. Surgery could be completed with ease in all but one case (with longest axial length).
Conclusion: Posterior shifting of one scleral port is a safe and effective technique for managing retinal detachments in cases of high myopia.
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