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Macular buckle technique in myopic traction maculopathy: a 16-year review of the literature and a comparison with vitreous surgery

Overview of attention for article published in Graefe's Archive for Clinical and Experimental Ophthalmology, March 2018
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Title
Macular buckle technique in myopic traction maculopathy: a 16-year review of the literature and a comparison with vitreous surgery
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology, March 2018
DOI 10.1007/s00417-018-3947-3
Pubmed ID
Authors

Micol Alkabes, Carlos Mateo

Abstract

The aim of this study is to review anatomical and functional outcomes following macular buckling (MB) in high myopia and to compare such results with those obtained by pars plana vitrectomy (PPV). PubMed articles on MB in high myopia (2000-2016) were reviewed. Main outcomes included retinal reattachment and macular hole (MH) closure rates, resolution of myopic foveoschisis (MFS), and postoperative visual acuity. Thirty-one articles included 16 in patients with retinal detachment due to MH (MHRD group), 11 in MFS with or without foveal detachment (MFS group), and 4 in MH patients with MFS (MH-MFS group). Surgical techniques mainly differed in the type of buckle, rectus muscles involvement, and concurrent PPV. In eyes with persistent MH, prognosis in the MHRD and MH-MFS groups differed between eyes receiving MB compared to PPV: functional outcome was markedly poorer and there was a higher risk of retinal redetachment associated with PPV. In the MSF group, secondary MHs were more likely to develop in eyes treated with PPV and internal limiting membrane peeling than those undergoing MB alone or combined with PPV. Retinal pigment epithelium changes, malpositioning, perforation, and choroidal detachment were the main complications. Although different approaches are used, complete resolution of foveoschisis, retinal reattachment, and MH closure seem to be achieved more frequently with MB than PPV.

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Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Other 7 13%
Researcher 5 10%
Student > Doctoral Student 5 10%
Student > Bachelor 5 10%
Professor 5 10%
Other 14 27%
Unknown 11 21%
Readers by discipline Count As %
Medicine and Dentistry 32 62%
Unspecified 1 2%
Chemical Engineering 1 2%
Social Sciences 1 2%
Agricultural and Biological Sciences 1 2%
Other 0 0%
Unknown 16 31%