Journal d'ophtalmologie clinique et expérimentale
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Vitrectomy and Gas Tamponade with Internal Limiting Membrane eeling for Myopic Tractional Maculopathy

Ahmad Mirshahi, Alireza Lashay, Ali Abdollahi, Hamid Reza Sadabadi and Abed Namavari

Purpose: To evaluate the efficacy of vitreous surgery for high myopic eyes with myopic traction maculopathy.
 
Design: Comparative interventional case series.
 
Methods: 15 patients (eighteen myopic eyes) with MTM underwent vitrectomy and release of vitreoretinal traction and ILM peeling with gas (SF6) tamponade. Eleven eyes (61.1%) received a combined phacovitrectomy. Mean patients age was 54 years ,mean refractive error was -15.05 dioptric spherical equivalent and mean preoperative best corrected visual acuity was 1.25 log MAR (range 1.6 to 0.5). Mean follow-up was six months.
 
Results: Fourteen eyes (77.7%) of eighteen eyes had improvement in BCVA at last follow-up, mean improvement was 2.5 lines (0 to 6). Complete resolution of foveal detachment was seen in fourteen eyes (77.7%), and remaining four eyes (22.2%) had partial resolution with reduction in the height of foveal detachment. One eye developed a macular hole that did not progress to macular detachment during follow-up.
 
Conclusion: Vitrectomy and ILM peeling with gas tamponade leads to resolution of MTM and good visual improvement.