The British journal of ophthalmology · 2026
Surgical outcome and late-onset complications 5 years after pars plana vitrectomy for myopic traction maculopathy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Takahashi Tomonari, Takahashi Hiroyuki, Uramoto Kengo, Ohno-Matsui Kyoko
Аннотация
BACKGROUND/AIMS: To determine the long-term effects of vitreoretinal surgery to treat myopic traction maculopathy (MTM) and to determine the differences in the postoperative results between fovea-sparing internal limiting membrane (ILM) peeling (FSIP) and total ILM peeling (TP).
METHODS: We studied 209 eyes of 189 patients with high myopia (refractive error >6.0 dioptres (D) or an axial length ≥26.5 mm) that had undergone pars plana vitrectomy (PPV) for MTM. The inclusion criteria were high myopia and a postoperative follow-up period of >5 years. Surgical outcomes were compared between eyes treated with FSIP and those with TP.
RESULTS: There were 28 eyes in the FSIP group and 38 eyes in the TP group. The preoperative and 1, 3 and 5 years postoperative best-corrected visual acuity was not significantly different between the FSIP group and the TP group. For eyes with a postoperative full-thickness macular hole (MH), there were 4 (14.3%) eyes in the FSIP group and 3 (7.9%) eyes in the TP group. The rate of the development of a postoperative MH was not significantly different between the two groups (p=0.668). There were 0 eyes in the FSIP group and 4 (10.5%) eyes in the TP group that developed postoperative macular atrophy (MA). This difference was not significant (p=0.212).
CONCLUSIONS: Fovea sparing is useful both for improving vision and preventing complications. We suggest that FSIP has the possible benefit of avoiding postoperative MA.
METHODS: We studied 209 eyes of 189 patients with high myopia (refractive error >6.0 dioptres (D) or an axial length ≥26.5 mm) that had undergone pars plana vitrectomy (PPV) for MTM. The inclusion criteria were high myopia and a postoperative follow-up period of >5 years. Surgical outcomes were compared between eyes treated with FSIP and those with TP.
RESULTS: There were 28 eyes in the FSIP group and 38 eyes in the TP group. The preoperative and 1, 3 and 5 years postoperative best-corrected visual acuity was not significantly different between the FSIP group and the TP group. For eyes with a postoperative full-thickness macular hole (MH), there were 4 (14.3%) eyes in the FSIP group and 3 (7.9%) eyes in the TP group. The rate of the development of a postoperative MH was not significantly different between the two groups (p=0.668). There were 0 eyes in the FSIP group and 4 (10.5%) eyes in the TP group that developed postoperative macular atrophy (MA). This difference was not significant (p=0.212).
CONCLUSIONS: Fovea sparing is useful both for improving vision and preventing complications. We suggest that FSIP has the possible benefit of avoiding postoperative MA.