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Indications for macular buckle in myopic traction maculopathy based on MTM staging system: a systematic review

Eye (2026)Cite this article

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Abstract

Myopic traction maculopathy (MTM) affects around 30% of patients with pathologic myopia and is responsible for a high proportion of legal blindness cases in myopic population. The main surgical solutions to MTM are macular buckling (MB) ab-externo surgery and pars plana vitrectomy (PPV) ab-interno surgery. The recently proposed MTM staging system (MSS) provides a new classification of the condition based on evolutive changes occurring in the natural course of the disease. Based on MSS staging, a customised surgical approach has been proposed according to different stages of MTM. The aim of this systematic review is to describe literature from 2017 to the present date to assess concordance of recent literature to the results proposed from the authors of the MSS.

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Fig. 1: Article selection process.
Fig. 2: Anatomical and functional success of MB in a MS-MD case.
Fig. 3: Successful case of PPV+ILM peeling+ MB.
Fig. 4: Outer lamellar macular hole case.
Fig. 5: Development of a full thickness macular hole after PPV+ILM peeling.

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Authors and Affiliations

  1. Ophthalmology Unit, “Fondazione Policlinico Universitario A. Gemelli IRCCS”, Rome, Italy

    Emanuele Crincoli

  2. Catholic University of “Sacro Cuore”, Rome, Italy

    Emanuele Crincoli

  3. Guglielmo da Saliceto Hospital, Piacenza, Italy

    Rino Frisina

  4. Departement d’Ophtalmologie, Hopital Fondation Adolphe De Rothschild, 29 Rue Manin, Paris, France

    Fiammetta Catania

  5. Eyecare Clinic, Crystal Palace, Via Cefalonia 70, Brescia, Italy

    Veronika Matello & Barbara Parolini

Authors
  1. Emanuele Crincoli
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  2. Rino Frisina
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  3. Fiammetta Catania
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  4. Veronika Matello
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  5. Barbara Parolini
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Contributions

Design of the review: BP, EC; Literature Search: EC, FC, VM, RF; Draft: EC, FC, VM; Revision: BP, EC, FC, RF.

Corresponding author

Correspondence to Emanuele Crincoli.

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RF is a member of the Eye editorial board. No conflict of interest exists for any other author

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Crincoli, E., Frisina, R., Catania, F. et al. Indications for macular buckle in myopic traction maculopathy based on MTM staging system: a systematic review. Eye (2026). https://doi.org/10.1038/s41433-026-04289-4

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