DEVELOPMENT OF MACULAR ATROPHY AFTER PARS PLANA VITRECTOMY FOR MYOPIC TRACTION MACULOPATHY AND MACULAR HOLE RETINAL DETACHMENT IN PATHOLOGIC MYOPIA. Issue 10 (October 2020)

• Record Type: Journal Article
• Authors: Fang, Yuxin; Yokoi, Tae; Shimada, Noriaki; Du, Ran; Shinohara, Kosei; Takahashi, Hiroyuki; Uramoto, Kengo; Ohno-Matsui, Kyoko
• Is Part Of: Retina. Volume 40:Issue 10(2020)
• Publication Date: 2020-10
• Subjects: macular atrophy -- macular hole -- macular hole retinal detachment -- myopic traction maculopathy -- optical coherence tomography -- pathologic myopia -- pars plana vitrectomy -- surgical procedures -- toxicity of indocyanine green; Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000002709
• Languages: English
• ISSNs: 0275-004X

Abstract

Abstract : Purpose: To determine the incidence and long-term outcome of macular atrophy (MA) after pars plana vitrectomy (PPV) in pathologic myopia. Methods: Highly myopic patients who underwent PPV for myopic traction maculopathy and macular hole retinal detachment at Tokyo Medical and Dental University between 2012 and 2016 were studied. Fundus photographs and/or optical coherence tomography were examined before and after PPV at every visit. Results: A total of 133 eyes were followed for 39 months with the mean age of 62.8 years and the mean axial length of 30.0 mm. Postoperatively, 14 eyes (10.5%) developed fovea-centered MA, observed initially as a small, isolated, whitish lesion at the center of fovea at 3.5 months after PPV. The appearance of the MA was distinctly different from the choroidal neovascularization–related MA or patchy atrophy–related MA. With time, the lesions enlarged circumferentially. In these 14 eyes, the final best-corrected visual acuity was worse than the baseline, although the difference was not significant. The occurrence of MA was significantly associated with the preoperative foveal status. Conclusion: The development of MA can occur in 11% of highly myopic eyes after PPV for myopic traction maculopathy and macular hole retinal detachment. This postoperative MA might be a new complication of pathologic myopia. Abstract : Supplemental Digital Content is Available in the Text.In 133 high myopic eyes with myopic traction maculopathy preoperatively, 14 eyes (10.5%) developed fovea-centered macular atrophy, observed initially as an isolated, whitish lesion at the center of the fovea at 3.5 months after the pars plana vitrectomy. The final best-corrected visual acuity was worse than the baseline value in these eyes with macular atrophy development.