An evidence-based review of the epidemiology of myopic traction maculopathy

Myopic traction maculopathy (MTM), one of the complications of pathologic myopia, is a spectrum of pathological conditions that are attributed to tractional changes in the eye characterized by retinoschisis, lamellar or full thickness macular hole, and foveal retinal detachment. Considering the glob...

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Veröffentlicht in:Survey of ophthalmology Jg. 67; H. 6; S. 1603 - 1630
Hauptverfasser: Cheong, Kai Xiong, Xu, Lingqian, Ohno-Matsui, Kyoko, Sabanayagam, Charumathi, Saw, Seang Mei, Hoang, Quan V.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 01.11.2022
Schlagworte:
Foveoschisis
Full thickness macular hole
High myopia
Lamellar macular hole
Maculoschisis
Myopic traction maculopathy
Natural history
Prevalence
Retinal detachment
Retinoschisis
Maculoschisis
Retinal detachment
Retinoschisis
Prevalence
Foveoschisis
Myopic traction maculopathy
Full thickness macular hole
High myopia
Lamellar macular hole
Natural history
ISSN:0039-6257, 1879-3304, 1879-3304
Online-Zugang:Volltext
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Zusammenfassung:Myopic traction maculopathy (MTM), one of the complications of pathologic myopia, is a spectrum of pathological conditions that are attributed to tractional changes in the eye characterized by retinoschisis, lamellar or full thickness macular hole, and foveal retinal detachment. Considering the global public health burden of MTM and pathologic myopia, it is important to understand these sight-threatening complications and their associations. We conducted an evidence-based review of the prevalence and natural history of MTM and associated risk factors. The prevalence of MTM in the general population is low, but is increased among high myopes. MTM is associated with preretinal tractional structures, myopic refractive error and axial elongation, posterior staphyloma, dome-shaped macula, chorioretinal atrophy, and myopic macular degeneration. The clinical course of MTM tends to be stable; however, MTM may progress, resulting in visual acuity deterioration, although spontaneous improvement also occurs. The associations of MTM progression include vitreous traction, location, and extent of MTM, and lamellar macular hole-specific factors. More high-quality population-based studies that assess MTM prevalence and natural history are needed.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
ISSN:0039-6257
1879-3304
1879-3304
DOI:10.1016/j.survophthal.2022.03.007