ABSTRACT OBJECTIVES To assess the specific features of myopic traction maculopathy (MTM) in the context of myopic macular atrophy (MA). The evolution, surgical considerations, optimal

surgical procedures, and results were studied. METHODS Retrospective, consecutive cases collection was performed for highly myopic eyes with MA (category 4, the classification system of

META-analysis for Pathologic Myopia). Eighty-seven eyes of 75 patients with MA were included. The characteristics and evolution of the MTM were analyzed. Surgical indications and outcomes

were evaluated and specific surgical features and techniques were assessed. RESULTS Approximately half (50.6%) of the cases with MA presented with various stages of MTM. The majority were

technique, with or without fovea-sparing ILM peeling, was the most frequently used surgical technique (78%). Complete traction relief was achieved in most cases (94%). CONCLUSION MA

contributes to the specific configuration and evolution of MTM, and characteristic maculoschisis with LMH is a frequent presentation in MA patients. MHRD development and structural

progression were two major reasons for surgical intervention. Vitrectomy with inverted ILM flap effectively stabilized the macular structure with few recurrences. Access through your

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BEING VIEWED BY OTHERS PIGMENTARY LESIONS IN EYES WITH RHEGMATOGENOUS RETINAL DETACHMENT WITH FLAP TEARS: A RETROSPECTIVE OBSERVATIONAL STUDY Article Open access 21 July 2022 FULL-THICKNESS

MACULAR HOLE FORMATION IN PROLIFERATIVE DIABETIC RETINOPATHY Article Open access 13 December 2021 THE DEVELOPMENT AND EVOLUTION OF LAMELLAR MACULAR HOLE IN HIGHLY MYOPIC EYES Article 13 May

2022 DATA AVAILABILITY The datasets generated during and analyzed during the current study are available from the corresponding author on reasonable request. REFERENCES * Ohno-Matsui K,

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Central  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Ophthalmology, National Taiwan University Hospital Hsin-Chu Hospital, Hsinchu City,

Taiwan Cheng-Yung Lee * Department of Ophthalmology, National Taiwan University Hospital, Taipei City, Taiwan Cheng-Yung Lee, Tso-Ting Lai, Ta-Ching Chen, Yi-Ting Hsieh, Tzyy-Chang Ho, 

Chang-Hao Yang & Chung-May Yang * Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei City, Taiwan Cheng-Yung Lee & Tso-Ting Lai *

Department of Ophthalmology, College of Medicine, National Taiwan University, Taipei City, Taiwan Tso-Ting Lai, Ta-Ching Chen, Yi-Ting Hsieh, Tzyy-Chang Ho, Chang-Hao Yang & Chung-May

Yang Authors * Cheng-Yung Lee View author publications You can also search for this author inPubMed Google Scholar * Tso-Ting Lai View author publications You can also search for this author

inPubMed Google Scholar * Ta-Ching Chen View author publications You can also search for this author inPubMed Google Scholar * Yi-Ting Hsieh View author publications You can also search for

this author inPubMed Google Scholar * Tzyy-Chang Ho View author publications You can also search for this author inPubMed Google Scholar * Chang-Hao Yang View author publications You can

also search for this author inPubMed Google Scholar * Chung-May Yang View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS CYL conducted data

curation, formal analysis, investigation, and figure production, wrote the original draft, and contributed to manuscript revision and editing. TTL, TCC, and YTH were involved in

conceptualization, provided resources, contributed to methodology development, and offered feedback on the manuscript. TCH participated in conceptualization, provided resources, assisted

with methodology development, guided the discussion, and offered feedback. CHY provided resources, assisted with methodology development, and commented on the manuscript. CMY contributed to

conceptualization, supervised the investigation, validated the methodology and final results, provided resources, and reviewed, revised, edited, and approved the manuscript. CORRESPONDING

AUTHOR Correspondence to Chung-May Yang. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains

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terms of such publishing agreement and applicable law. Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Lee, CY., Lai, TT., Chen, TC. _et al._ Myopic traction maculopathy in

fovea-involved myopic chorioretinal atrophy. _Eye_ 38, 3586–3594 (2024). https://doi.org/10.1038/s41433-024-03366-w Download citation * Received: 09 March 2024 * Revised: 10 September 2024 *

Accepted: 19 September 2024 * Published: 23 September 2024 * Issue Date: December 2024 * DOI: https://doi.org/10.1038/s41433-024-03366-w SHARE THIS ARTICLE Anyone you share the following

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