A New Model of a Macular Buckle and a Refined Surgical Technique for the Treatment of Myopic Traction Maculopathy

Vision Pub Date : 2024-07-03 DOI:10.3390/vision8030042
B. Parolini
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Abstract

Myopic traction maculopathy (MTM) affects 20% of eyes with pathologic myopia (PM). The MTM Staging System (MSS), published in 2020, describes the nomenclature of MTM as well as a proposal of pathogenesis, natural evolution, and prognosis. A study of customized treatment for each stage of MTM has been published previously and suggested to treat maculoschisis and detachment by placing a macular buckle (MB) behind the macula to push the sclera towards the retina, selecting pars plana vitrectomy (PPV) only in cases where a macular hole is associated with MTM. We hereby describe a new model of a macular buckle, known as NPB, and an NPB loading device, with the aim to standardize the surgical technique and render it more user friendly, efficient, and safe. Macular buckle is an effective and safe procedure to treat maculoschisis and macular detachment in MTM. We recommend using it as a unique and first-line treatment.
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治疗近视牵引性黄斑病变的新型黄斑扣模型和改良手术技术
近视牵引性黄斑病变(MTM)影响着 20% 的病理性近视(PM)患者。2020 年发布的近视牵引性黄斑病变分期系统(MSS)描述了近视牵引性黄斑病变的命名以及发病机制、自然演变和预后建议。以前曾发表过一项针对 MTM 各分期的定制治疗研究,建议通过在黄斑后放置黄斑扣(MB)将巩膜推向视网膜来治疗黄斑裂孔和脱离,仅在黄斑孔与 MTM 相关的病例中选择玻璃体旁切除术(PPV)。我们在此介绍一种新的黄斑扣(NPB)模型和 NPB 装载装置,目的是使手术技术标准化,使其更加方便、高效和安全。黄斑扣带术是治疗 MTM 中黄斑裂孔和黄斑脱离的一种有效而安全的手术。我们建议将其作为一种独特的一线治疗方法。
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