The sequence of events in six years of a myopic traction maculopathy.

GMS ophthalmology cases Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI:10.3205/oc000256
Prabu Baskaran, Bharg Kariya, Anand Rajendran
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Abstract

Purpose: To describe the sequence of events in a case of high myope with myopic traction maculopathy.

Methods: Our female patient who is a high myope developed myopic choroidal neovascular membrane (CNVM), for which she received three anti-vascular endothelial growth factor injections (VEGF). It was scarred for a while. Later she developed myopic foveoschisis with macular detachment which progressed over a period with deterioration of vision.

Results: She underwent pars plana vitrectomy with silicone oil tamponade. Oil removal was done eight months later. At the last follow up visit, her macula was flat with stable vision.

Conclusion: Myopic traction maculopathy (MTM) is a challenging case to manage with its myriad of presentations and complex pathology.

Abstract Image

Abstract Image

Abstract Image

6年近视牵引性黄斑病变的事件顺序。
目的:描述一例高度近视合并近视牵引性黄斑病变的事件发生顺序。方法:我们的女性高度近视患者发生了近视脉络膜新血管膜(CNVM),为此她接受了三次抗血管内皮生长因子(VEGF)注射。它留下了一段时间的伤疤。后来她发展为近视视网膜裂孔伴黄斑脱离,一段时间后视力恶化。结果:采用硅油填塞术行玻璃体切除。8个月后进行了除油。最后一次随访时,黄斑平坦,视力稳定。结论:近视牵拉性黄斑病变(MTM)是一个具有挑战性的病例,其无数的表现和复杂的病理处理。
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