AIM To provide the surgical indication for patients with myopic traction maculopathy (MTM) by investigating the postoperative outcomes after vitrectomy among different types of morphological characteristic groups.
METHODS All the 37 eyes of 37 MTMs were classified into three groups: foveal retinoschisis (FS), lamellar macular hole (LMH), foveal retinal detachment (FRD). The ratios of anatomic recovery, the central retinal thickness (CRT) and the best corrected visual acuity (BCVA) were statistically analyzed among the three groups at preoperatively and followed up on 1, 3, 6 and 12 months after vitrectomy.
RESULTS Anatomical recovery could be found in all patients of the FS and LMH group at 6 and 12 months postoperatively, respectively, but only 83.33% patients in the FRD group showed anatomic recovery until 12 months. The time of CRT reduced to 200µm at 1, 6 and 12 months in FS, LMH and FRD group separately. Postoperative BCVA was better in the FS group than LMH and FRD group ( P < 0.05), but LMH group and FDR group had no difference. The visual acuity was significantly improved in FS group ( P < 0.01) and FRD group ( P = 0.018), but not the LMH group ( P = 0.196).
CONCLUSION The FS group approached to anatomical recovery firstly gets the best BCVA. Early surgery should be considered for eyes at FS and before LMH or FRD occurs.

Figure 1

Figure 2

Figure 3

Figure 4
Loading...
Posted 24 Sep, 2019
Posted 24 Sep, 2019
AIM To provide the surgical indication for patients with myopic traction maculopathy (MTM) by investigating the postoperative outcomes after vitrectomy among different types of morphological characteristic groups.
METHODS All the 37 eyes of 37 MTMs were classified into three groups: foveal retinoschisis (FS), lamellar macular hole (LMH), foveal retinal detachment (FRD). The ratios of anatomic recovery, the central retinal thickness (CRT) and the best corrected visual acuity (BCVA) were statistically analyzed among the three groups at preoperatively and followed up on 1, 3, 6 and 12 months after vitrectomy.
RESULTS Anatomical recovery could be found in all patients of the FS and LMH group at 6 and 12 months postoperatively, respectively, but only 83.33% patients in the FRD group showed anatomic recovery until 12 months. The time of CRT reduced to 200µm at 1, 6 and 12 months in FS, LMH and FRD group separately. Postoperative BCVA was better in the FS group than LMH and FRD group ( P < 0.05), but LMH group and FDR group had no difference. The visual acuity was significantly improved in FS group ( P < 0.01) and FRD group ( P = 0.018), but not the LMH group ( P = 0.196).
CONCLUSION The FS group approached to anatomical recovery firstly gets the best BCVA. Early surgery should be considered for eyes at FS and before LMH or FRD occurs.

Figure 1

Figure 2

Figure 3

Figure 4
Loading...