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ILM Envelope Technique: A Novel Procedure for Myopic Macular Hole Retinal Detachment

ABSTRACT The ILM envelope technique is a novel procedure for management of myopic macular hole retinal detachment. It entails peeling the ILM from 4 directions: the upper & lower temporal arcades, nasal edge of the optic disc and 2 disc diameters temporal to the macula. The peel stops well away from the edge of the macular hole. Under air or PFCL, the ILM flaps are folded over the hole, like folding an envelop. Further ILM peeling is...

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Vitrectomy with ILM Peel or Invert for Myopic Macular Hole Retinal Detachment Associated with Posterior Staphyloma

ABSTRACT Purpose: To compare macular hole closure outcomes in myopic macular hole retinal detachment associated with posterior staphyloma using 2 techniques of ILM peeling. Patients & Methods: Retrospective study that included 46 eyes of 43 patients that underwent either a complete ILM peel and removal (group 1) in 28 eyes or inverted ILM flap (group 2) in 17 eyes. All eyes were pseudophakic or underwent simultaneous phacoemulsification...

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Myopic Macular Retinoschisis: Different ILM Management Approaches, Different Results

ABSTRACT Purpose: To report anatomical, functional results and complications of vitrectomy for myopic macular retinoschisis cases with different approaches to ILM management, including no ILM peeling, complete peeling and foveal sparing ILM peeling. Methods: Case series of myopic macular retinoschisis in whom vitrectomy is indicated for progression of the schisis, or other associated indications like retinal detachment, and excluding cases...

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Surgery for Myopic Traction Maculopathy: Tamponade is Unnecessary

ABSTRACT Myopic Traction Maculopathy is a tractional disease, and the only purpose of vitrectomy is to release traction. This traction is most often hidden under vitreoretinal adhesions, or almost invisible due to the sub atrophic aspect of RPE. After traction release, there’s no need for tamponade, that may also result dangerous for the retina. Slowly the retina will reassume the normal aspect and also visual acuity can be partially...

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Intravitreal Ranibizumab Monotherapy in Naive Eyes with Myopic Choroidal Neovascularisation

ABSTRACT Purpose: To report the results anatomical and visual outcomes of intravitreal ranibizumab (IVR) monotherapy in naive eyes with myopic choroidal neovascularization (mCNV). Material & Methods: Retrospective analysis of naive CNV secondary to myopia that underwent antivascular endothelial growth factor monotherapy was performed. Collected data included demographic details, clinical examination details including visual acuity at...

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Myopic Macular Degeneration: Current Understanding, Approach and Management

ABSTRACT Myopia is a common problem worldwide, affecting 25-40% of adults aged >40 years. Myopic macular degeneration (MMD), sometimes known as pathologic myopia (PM), myopic maculopathy or degenerative myopia, is a possible consequence of myopia, particularly high myopia. MMD is characterized by progressive elongation of the globe with additional degenerative changes seen in the retina and estimated to affect up to 3% of the global...

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