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Published on: April 3, 2016
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[Macular buckling for highly myopic traction maculopathy]
1Zhongshan Ophthalmic Centre, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangzhou 510060, China.
Summary
Macular buckling effectively treats highly myopic traction maculopathy, improving vision and reducing axial length. This study shows high rates of retinal reattachment and visual acuity improvement with manageable complications.
Area of Science:
- Ophthalmology
- Retinal Surgery
- High Myopia Research
Background:
- Highly myopic traction maculopathy presents significant visual impairment.
- Macular buckling is a surgical technique used to address complex retinal conditions.
Purpose of the Study:
- To evaluate the efficacy of macular buckling in treating highly myopic traction maculopathy.
- To assess visual acuity, axial length changes, and complication rates post-surgery.
Main Methods:
- Retrospective case series of 378 eyes with highly myopic traction maculopathy.
- Patients underwent macular buckling, with some also receiving pars plana vitrectomy.
- Outcomes including retinal reattachment, foveoschisis recovery, macular hole closure, BCVA, and AL were measured pre- and post-operatively.
Main Results:
- High retinal reattachment rate (98.68%) and significant improvement in best-corrected visual acuity (BCVA) from 1.459±0.841 preoperatively to 0.908±0.606 at 3 years.
- Axial length (AL) shortened significantly post-surgery, with a sustained reduction observed at 3 years.
- Common complications included transient high intraocular pressure and hemorrhage, with most resolving spontaneously; diplopia and implant rejection were infrequent.
Conclusions:
- Macular buckling is an effective treatment for highly myopic traction maculopathy.
- The procedure leads to axial length shortening, posterior scleral staphyloma resolution, and improved visual function.
- While complications can occur, they are generally manageable and resolve without long-term sequelae.
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