Multimodal imaging in posterior microphthalmos

Purpose: to evaluate the multimodal imaging including optical coherence tomography angiography (octa) findings in patients with posterior microphthalmos (pm). methods: in an observational case series, four eyes of two patients, eight and twenty-three years old, with clinical proven pm underwent complete ophthalmic examination, including refraction, fluorescein angiography, optical coherence tomography (oct), octa, b-scan ultrasonography, axial length measurement using iol master optical measuring, and pentacam evaluation. results: both patients were high hyperopic with partial thickness retinal fold in macula, retinoschisis, and foveal hypoplasia. axial length was less than 17 mm with scleral thickening in all eyes. octa showed absence of foveal avascular zone (faz) in both superficial and deep capillary plexuses. pentacam showed corneal steepness, shallow anterior chamber, and low anterior chamber volume. conclusion: octa findings showed absence of avascular zone in both superficial and deep capillary plexuses, while oct shows partial thickness retinal fold and retinoschisis.