Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy

Background: Myopic traction maculopathy [MTM] complicating high myopia is a spectrum of diseases involving damage of the macula resulting from traction leading to inner or outer retinoschisis, macular detachment, lamellar macular hole, full-thickness macular hole [FTMH] or even retinal detachment.Ai...

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Autor principal:	Mahmoud Ali
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	myopic traction maculopathy foveoschisis vitrectomy ilm peeling foveasparing Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ff075b9e43ef40af9d7e19a642d96e21
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spelling	oai:doaj.org-article:ff075b9e43ef40af9d7e19a642d96e212021-12-02T17:56:47ZVitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy2636-41742682-378010.21608/ijma.2021.91919.1356https://doaj.org/article/ff075b9e43ef40af9d7e19a642d96e212021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_195518_5521a7b9805b21d78897eddda3c01aae.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Myopic traction maculopathy [MTM] complicating high myopia is a spectrum of diseases involving damage of the macula resulting from traction leading to inner or outer retinoschisis, macular detachment, lamellar macular hole, full-thickness macular hole [FTMH] or even retinal detachment.Aim of the work: To compare the role of vitrectomy with total internal limiting membrane peeling [TILMP] versus fovea sparing internal limiting membrane peeling [FSILMP] for MTM.Patients and Methods: The study was conducted on eighteen eyes with MTM. Preoperatively, best corrected visual acuity [BCVA] converted into logMAR and optical coherence tomography [OCT] were done. Nine patients were surgically treated with total ILM peeling and nine patients were surgically treated with fovea sparing ILM peeling. Six months postoperatively, the patients were examined for BCVA in logMAR. Also, OCT was done 6 months postoperatively.Results: The difference between the two groups was no significant statistically according to their BCVA preoperatively and postoperatively with a p-value >0.05 NS, while there was a statistically significant reduction BCVA postoperatively compared to preoperative in TILMP Group and FSILMP group with p-value <0.05 S with more significant results in FSILMP group. One case developed a FTMH postoperatively in FSILMP group.Conclusion: Both techniques of vitrectomy with TILMP and FSILMP provided good anatomical and visual results in the surgical treatment of MTM with relatively better results in FSILMP group.Mahmoud AliAl-Azhar University, Faculty of Medicine (Damietta)articlemyopic traction maculopathyfoveoschisisvitrectomyilm peelingfoveasparingMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1844-1848 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	myopic traction maculopathy foveoschisis vitrectomy ilm peeling foveasparing Medicine (General) R5-920
spellingShingle	myopic traction maculopathy foveoschisis vitrectomy ilm peeling foveasparing Medicine (General) R5-920 Mahmoud Ali Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
description	Background: Myopic traction maculopathy [MTM] complicating high myopia is a spectrum of diseases involving damage of the macula resulting from traction leading to inner or outer retinoschisis, macular detachment, lamellar macular hole, full-thickness macular hole [FTMH] or even retinal detachment.Aim of the work: To compare the role of vitrectomy with total internal limiting membrane peeling [TILMP] versus fovea sparing internal limiting membrane peeling [FSILMP] for MTM.Patients and Methods: The study was conducted on eighteen eyes with MTM. Preoperatively, best corrected visual acuity [BCVA] converted into logMAR and optical coherence tomography [OCT] were done. Nine patients were surgically treated with total ILM peeling and nine patients were surgically treated with fovea sparing ILM peeling. Six months postoperatively, the patients were examined for BCVA in logMAR. Also, OCT was done 6 months postoperatively.Results: The difference between the two groups was no significant statistically according to their BCVA preoperatively and postoperatively with a p-value >0.05 NS, while there was a statistically significant reduction BCVA postoperatively compared to preoperative in TILMP Group and FSILMP group with p-value <0.05 S with more significant results in FSILMP group. One case developed a FTMH postoperatively in FSILMP group.Conclusion: Both techniques of vitrectomy with TILMP and FSILMP provided good anatomical and visual results in the surgical treatment of MTM with relatively better results in FSILMP group.
format	article
author	Mahmoud Ali
author_facet	Mahmoud Ali
author_sort	Mahmoud Ali
title	Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
title_short	Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
title_full	Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
title_fullStr	Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
title_full_unstemmed	Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy
title_sort	vitrectomy with fovea sparing internal limiting membrane peeling versus total internal limiting membrane peeling for myopic traction maculopathy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/ff075b9e43ef40af9d7e19a642d96e21
work_keys_str_mv	AT mahmoudali vitrectomywithfoveasparinginternallimitingmembranepeelingversustotalinternallimitingmembranepeelingformyopictractionmaculopathy
_version_	1718379085418201088

Vitrectomy with Fovea Sparing Internal Limiting Membrane Peeling versus Total Internal Limiting Membrane Peeling for Myopic Traction Maculopathy

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