Ophthalmic Surg Lasers Imaging Retina. 2023 Aug;54(8):481-484. doi: 10.3928/23258160-20230726-01. Epub 2023 Aug 1.
We describe a case of myopic traction maculopathy (MTM) in a patient with low myopia that resolved with surgical intervention. Our patient demonstrated no other features of myopic degeneration and none of the typical tractional elements that cause MTM, such as vitreomacular traction due to partial posterior vitreous detachment (PVD) with vitreomacular adhesion, epiretinal membrane, or a remnant cortical vitreous layer following PVD. Possible pathogenic mechanisms in our patient include reduced compliance of the aging internal limiting membrane and/or traction from elasticity within the thin cortical vitreous layer that forms the posterior wall of the premacular liquefied pocket. .
我们描述了一例低度近视患者的近视牵引性黄斑病变（MTM），该患者通过手术干预得到了缓解。我们的患者没有表现出其他近视退行性变的特征，也没有引起 MTM 的典型牵引因素，例如由于不完全性玻璃体后脱离（PVD）伴玻璃体黄斑粘连、视网膜内膜或 PVD 后皮质状玻璃体残留层引起的玻璃体黄斑牵引。我们患者的可能发病机制包括老化的内界膜顺应性降低和/或来自形成黄斑前液化袋后壁的薄皮质状玻璃体层内的弹性的牵引。
