Macular Buckling Combined With Vitrectomy and Inverted Internal Limiting Membrane Flap Technique for Macular Holes With Macular Retinoschisis Without Retinal Detachment in High Myopia

Luo, Nan; Chen, Shida; Zhao, Xiujuan; Huang, Yanqiao; Wang, Yanbing; Li, Jun; Guo, Zhang; Zhao, Liang; Alimu, Subinuer; Liu, Bingqian; Li, Lin

doi:10.1097/iae.0000000000003568

Retina

2022

DOI: 10.1097/iae.0000000000003568

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Macular Buckling Combined With Vitrectomy and Inverted Internal Limiting Membrane Flap Technique for Macular Holes With Macular Retinoschisis Without Retinal Detachment in High Myopia

Nan Luo

Shida Chen

Xiujuan Zhao

et al.

Abstract: Macular buckling combined with vitrectomy and inverted internal limiting membrane flap resulted in good anatomical and functional outcomes in eyes with highly myopic macular hole and macular retinoschisis.

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Cited by 2 publications

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Macular Buckling for Myopic Traction Maculopathy: A Comprehensive Systematic Review and Meta-Analysis

Serhan,

Ahmed,

Chaudhry

et al. 2025

American Journal of Ophthalmology

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Macular Buckling for Myopic Traction Maculopathy: A Comprehensive Systematic Review and Meta-Analysis

Serhan,

Ahmed,

Chaudhry

et al. 2025

American Journal of Ophthalmology

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Risk factors and patterns for progression of fellow-eye myopic traction maculopathy: a 3-year retrospective cohort study

Luo,

Long,

Lian

et al. 2024

Br J Ophthalmol

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AimsTo investigate the effect of preretinal tractional structures (PTS) and posterior scleral structures (PSS) on myopic traction maculopathy (MTM) progression.MethodsThis retrospective cohort study included 185 fellow highly myopic eyes of 185 participants who underwent surgery for MTM. PTS included epiretinal membrane, incomplete posterior vitreous detachment and their combination. PSS included posterior staphyloma and dome-shaped macula (DSM). The MTM stage was graded according to the Myopic Traction Maculopathy Staging System. Optical coherence tomography was used to identify MTM progression, defined as an upgrade of MTM. The Kaplan-Meier method with log-rank test was used to assess MTM progression over the 3-year follow-up period. Risk factors for progression were identified using Cox regression analysis.ResultsMTM progression was observed in 48 (25.9%) eyes. Three-year progression-free survival (PFS) rates for eyes with PTS, staphyloma and DSM were 53.7%, 58.2% and 90.7%, respectively. Eyes with PTS and staphyloma exhibited lower 3-year PFS rates than those without PTS or staphyloma (Plog-rank test=0.002 and <0.001), while eyes with DSM had a higher 3-year PFS rate than eyes without DSM (Plog-rank test=0.01). Multivariate Cox regression analysis showed that PTS (HR, 3.23; p<0.001) and staphyloma (HR, 7.91; p<0.001) were associated with MTM progression, whereas DSM (HR, 0.23; p=0.046) was a protective factor.ConclusionBoth PTS and PSS play a critical role in the progression of MTM. Addressing these factors can aid in the management of MTM.

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Macular Buckling Combined With Vitrectomy and Inverted Internal Limiting Membrane Flap Technique for Macular Holes With Macular Retinoschisis Without Retinal Detachment in High Myopia

Abstract: Macular buckling combined with vitrectomy and inverted internal limiting membrane flap resulted in good anatomical and functional outcomes in eyes with highly myopic macular hole and macular retinoschisis.

Cited by 2 publications

References 28 publications

Macular Buckling for Myopic Traction Maculopathy: A Comprehensive Systematic Review and Meta-Analysis

Macular Buckling for Myopic Traction Maculopathy: A Comprehensive Systematic Review and Meta-Analysis

Risk factors and patterns for progression of fellow-eye myopic traction maculopathy: a 3-year retrospective cohort study

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