Indications for macular buckle in myopic traction maculopathy based on MTM staging system: a systematic review

Myopic traction maculopathy (MTM) affects around 30% of patients with pathologic myopia and is responsible for a high proportion of legal blindness cases in myopic population. The main surgical solutions to MTM are macular buckling (MB) ab-externo surgery and pars plana vitrectomy (PPV) ab-interno surgery. The recently proposed MTM staging system (MSS) provides a new classification of the condition based on evolutive changes occurring in the natural course of the disease. Based on MSS staging, a customised surgical approach has been proposed according to different stages of MTM. The aim of this systematic review is to describe literature from 2017 to the present date to assess concordance of recent literature to the results proposed from the authors of the MSS.