OBJECTIVE: To describe the results of vitrectomy in highly myopic eyes affected by a form of posterior vitreous traction termed myopic traction maculopathy (MTM). METHODS: In this retrospective case series, 24 highly myopic eyes with MTM underwent vitrectomy and release of vitreoretinal traction without final fluid/gas exchange. Nine eyes (37.5%) received a combined phacovitrectomy. Mean patient age was 58 years, mean refractive error was -16.8 dioptric spherical equivalent, and preoperative visual acuity ranged from 20/400 to 20/32 (mean, 20/80). Mean follow-up was 29.6 months. RESULTS: Twenty-three (95.8%) of 24 eyes had complete and stable resolution of MTM after a mean of 4.4 months. Mean visual improvement was 2.5 Snellen lines (range, 0 to 6 lines). Five eyes (20.8%), despite achieving complete retinal flattening, developed a macular hole that did not progress to macular detachment during follow-up. CONCLUSIONS: Vitrectomy without fluid/gas exchange leads to stable resolution of MTM and good visual improvement. Posterior retinal detachment probably precedes macular hole formation in highly myopic eyes.
OBJECTIVE: To describe the results of vitrectomy in highly myopic eyes affected by a form of posterior vitreous traction termed myopic traction maculopathy (MTM). METHODS: In this retrospective case series, 24 highly myopic eyes with MTM underwent vitrectomy and release of vitreoretinal traction without final fluid/gas exchange. Nine eyes (37.5%) received a combined phacovitrectomy. Mean patient age was 58 years, mean refractive error was -16.8 dioptric spherical equivalent, and preoperative visual acuity ranged from 20/400 to 20/32 (mean, 20/80). Mean follow-up was 29.6 months. RESULTS: Twenty-three (95.8%) of 24 eyes had complete and stable resolution of MTM after a mean of 4.4 months. Mean visual improvement was 2.5 Snellen lines (range, 0 to 6 lines). Five eyes (20.8%), despite achieving complete retinal flattening, developed a macular hole that did not progress to macular detachment during follow-up. CONCLUSIONS: Vitrectomy without fluid/gas exchange leads to stable resolution of MTM and good visual improvement. Posterior retinal detachment probably precedes macular hole formation in highly myopic eyes.
Authors: Heidi Laviers; Ji-Peng Olivia Li; Anna Grabowska; Stephen J Charles; David Charteris; Richard J Haynes; D Alistair H Laidlaw; David H Steel; David Yorston; Tom H Williamson; Hadi Zambarakji Journal: Eye (Lond) Date: 2018-07-16 Impact factor: 3.775
Authors: X Yu; W Ma; B Liu; Z Li; X Zhao; S Tanumiharjo; X Chen; C Lyu; H Ao; S Li; Y Li; L Lu Journal: Eye (Lond) Date: 2018-02-09 Impact factor: 3.775
Authors: Giancarlo Sborgia; Francesco Boscia; Alfredo Niro; Ermete Giancipoli; Giuseppe D'Amico Ricci; Alessandra Sborgia; Luigi Sborgia; Nicola Recchimurzo; Mario R Romano; Giuseppe Addabbo; Giovanni Alessio Journal: Eye (Lond) Date: 2019-06-17 Impact factor: 3.775