**Abstract**

The prevalence of myopia is constantly on a rise. Patients with high myopia and pathological myopia can lose vision due to a number of degenerative changes occurring at the macula. With recent advances in imaging techniques such as spectral domain optical coherence tomography (OCT) and swept-source OCT, our understanding of macular pathology in myopia has improved significantly. New conditions such as myopic traction maculopathy have been identified and defined. Treatment approaches are now being planned on the basis of the pathoanatomy of myopic traction maculopathy on OCT. In this chapter, we discuss the role of OCT imaging in myopic traction maculopathy.

**Keywords:** myopia, traction maculopathy, posterior staphyloma
