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Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye

PURPOSE: This retrospective study investigated the patterns and risk factors of progression of myopic traction maculopathy (MTM) of fellow eyes after pars plana vitrectomy (PPV) of primary eyes. METHODS: The study population comprised 153 patients with MTM in both myopic eyes who sequentially underw...

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Autores principales: Kong, Kangjie, Xu, Sisi, Wang, Yingchao, Qi, Yuhe, Chang, Qing, Jiang, Rui, Jiang, Chunhui, Huang, Xin, Gan, Dekang, Zhang, Yanqiong, Chen, Ling, Wang, Ling, Luo, Xiaogang, Qin, Yaowu, Wu, Haixiang, Zhou, Min, Ni, Yingqin, Xu, Gezhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Association for Research in Vision and Ophthalmology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665302/
https://www.ncbi.nlm.nih.gov/pubmed/34882205
http://dx.doi.org/10.1167/iovs.62.15.9
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author Kong, Kangjie
Xu, Sisi
Wang, Yingchao
Qi, Yuhe
Chang, Qing
Jiang, Rui
Jiang, Chunhui
Huang, Xin
Gan, Dekang
Zhang, Yanqiong
Chen, Ling
Wang, Ling
Luo, Xiaogang
Qin, Yaowu
Wu, Haixiang
Zhou, Min
Ni, Yingqin
Xu, Gezhi
author_facet Kong, Kangjie
Xu, Sisi
Wang, Yingchao
Qi, Yuhe
Chang, Qing
Jiang, Rui
Jiang, Chunhui
Huang, Xin
Gan, Dekang
Zhang, Yanqiong
Chen, Ling
Wang, Ling
Luo, Xiaogang
Qin, Yaowu
Wu, Haixiang
Zhou, Min
Ni, Yingqin
Xu, Gezhi
author_sort Kong, Kangjie
collection PubMed
description PURPOSE: This retrospective study investigated the patterns and risk factors of progression of myopic traction maculopathy (MTM) of fellow eyes after pars plana vitrectomy (PPV) of primary eyes. METHODS: The study population comprised 153 patients with MTM in both myopic eyes who sequentially underwent PPV (2006–2021). Observation periods were from PPV of the primary eye (baseline) to PPV of the fellow (end). MTM was graded based on optical coherence tomography (OCT) images and the ATN (atrophy [A], traction [T], and neovascularization [N]) system. An increase in T grade was considered MTM progression. RESULTS: MTM progressed in 43.8% of fellow eyes during 34.57 ± 34.08 months. The progression of fellow eyes correlated with T grade of primary eyes (P < 0.001). Risk factors for the progression of MTM in fellow eyes were primary eyes in T4–T5, age at baseline <60 years, and fellow eyes with partial posterior vitreous detachment (PVD; P < 0.001, P = 0.042, and P = 0.002, respectively). Fellow eyes in T1/T2 at baseline progressed faster compared with those in T0 (P < 0.001); the annual rate of progression to T3–T5 of the T0 (T1–T2) groups was 9.98% (24.59%). CONCLUSIONS: Risk factors for the progression of MTM in fellow eyes included PPV when relatively young, primary eye at high T grade, and partial PVD of the fellow eye. Personalized follow-up for fellow eyes should be based on the severity of MTM of both eyes.
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spelling pubmed-86653022021-12-28 Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye Kong, Kangjie Xu, Sisi Wang, Yingchao Qi, Yuhe Chang, Qing Jiang, Rui Jiang, Chunhui Huang, Xin Gan, Dekang Zhang, Yanqiong Chen, Ling Wang, Ling Luo, Xiaogang Qin, Yaowu Wu, Haixiang Zhou, Min Ni, Yingqin Xu, Gezhi Invest Ophthalmol Vis Sci Retina PURPOSE: This retrospective study investigated the patterns and risk factors of progression of myopic traction maculopathy (MTM) of fellow eyes after pars plana vitrectomy (PPV) of primary eyes. METHODS: The study population comprised 153 patients with MTM in both myopic eyes who sequentially underwent PPV (2006–2021). Observation periods were from PPV of the primary eye (baseline) to PPV of the fellow (end). MTM was graded based on optical coherence tomography (OCT) images and the ATN (atrophy [A], traction [T], and neovascularization [N]) system. An increase in T grade was considered MTM progression. RESULTS: MTM progressed in 43.8% of fellow eyes during 34.57 ± 34.08 months. The progression of fellow eyes correlated with T grade of primary eyes (P < 0.001). Risk factors for the progression of MTM in fellow eyes were primary eyes in T4–T5, age at baseline <60 years, and fellow eyes with partial posterior vitreous detachment (PVD; P < 0.001, P = 0.042, and P = 0.002, respectively). Fellow eyes in T1/T2 at baseline progressed faster compared with those in T0 (P < 0.001); the annual rate of progression to T3–T5 of the T0 (T1–T2) groups was 9.98% (24.59%). CONCLUSIONS: Risk factors for the progression of MTM in fellow eyes included PPV when relatively young, primary eye at high T grade, and partial PVD of the fellow eye. Personalized follow-up for fellow eyes should be based on the severity of MTM of both eyes. The Association for Research in Vision and Ophthalmology 2021-12-09 /pmc/articles/PMC8665302/ /pubmed/34882205 http://dx.doi.org/10.1167/iovs.62.15.9 Text en Copyright 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Retina
Kong, Kangjie
Xu, Sisi
Wang, Yingchao
Qi, Yuhe
Chang, Qing
Jiang, Rui
Jiang, Chunhui
Huang, Xin
Gan, Dekang
Zhang, Yanqiong
Chen, Ling
Wang, Ling
Luo, Xiaogang
Qin, Yaowu
Wu, Haixiang
Zhou, Min
Ni, Yingqin
Xu, Gezhi
Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title_full Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title_fullStr Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title_full_unstemmed Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title_short Progression Patterns of Myopic Traction Maculopathy in the Fellow Eye After Pars Plana Vitrectomy of the Primary Eye
title_sort progression patterns of myopic traction maculopathy in the fellow eye after pars plana vitrectomy of the primary eye
topic Retina
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665302/
https://www.ncbi.nlm.nih.gov/pubmed/34882205
http://dx.doi.org/10.1167/iovs.62.15.9
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