A New Adjustable Macular Buckle Designed for Highly Myopic Eyes

Stirpe, Mario; Ripandelli, Guido; Rossi, Tommaso; Cacciamani, Andrea; Orciuolo, Manfredi

doi:10.1097/iae.0b013e3182550648

Cited by 24 publications

(15 citation statements)

References 4 publications

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“…4,9 Macular indentation can be achieved through various techniques and devices, but correct and safe positioning of the exoplant is still an issue. 1,2,5,6,8,10 To enhance visualization and to avoid excessive manipulation, we suggest a new amendment to the use of the Ando plombe during its surgical placement. AsSiametal 7 reported,knowingtheanatomicaltopographyofthe posterior aspect of the globe is crucial to making a proper indentation in the macular area.…”

Section: Discussionmentioning

confidence: 99%

Illuminated Ando Plombe for Optimal Positioning in Highly Myopic Eyes With Vitreoretinal Diseases Secondary to Posterior Staphyloma

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Illuminated Ando Plombe for Optimal Positioning in Highly Myopic Eyes With Vitreoretinal Diseases Secondary to Posterior Staphyloma

et al. 2013

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“…Ripandelli et al [ 12 ] performed the surgery using solid silicone exoplant sutured into the sclera 5 mm above and below the macular hole; these investigators achieved retinal reattachment in 14 (93%) of 15 highly myopic eyes with MHRD after primary surgery. Stirpe et al [ 13 ] introduced adjustable macular buckling device characterized by the possibility of adjusting the amount and localization of indentation, but they did not conduct a head-to-head study with PPV; in fact, they still acknowledged PPV as the primary procedure for most staphyloma associated conditions.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study between Vitrectomy with Internal Tamponade and a New Modified Fiber Optic Illuminated Ando Plombe for Cases of Macular Hole Retinal Detachment in Myopic Eyes

Bedda

Hadi

Shafy

2015

Journal of Ophthalmology

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Aim. To compare pars plana vitrectomy (PPV) with silicone tamponade or gas (Groups Ia and Ib) and a new modified Ando plombe equipped with a fiber optic light (Group II) for cases with macular hole retinal detachment (MHRD) in high myopic eyes (axial length > 26 mm). Methods. A prospective interventional randomized case series included 60 eyes (20 in each group). Successful outcome was considered if the retina was completely attached at the end of the follow-up period. Complications were identified for each group. Results. Visual acuity improved by 37.31%, 40.67%, and 49.40% in Groups Ia, Ib, and II, respectively. The success rate was 55%, 60%, and 100% in Groups Ia , Ib, and II, respectively, with a statistically significant difference between Groups Ia, Ib, and II (p < 0.001 in Ia, p: 0.002 in Ib). Complications rates were 60%, 45%, and 20% in Groups Ia, Ib, and II, respectively, with a statistically significant difference between Groups Ia and II (p: 0.01). Conclusion. Fiber optic illuminated Ando plombe allows better positioning under the macula and consequently improves the success rate of epimacular buckling in comparison to PPV with internal tamponade in MMHRD.

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“…103 Macular buckling (MB) is another surgical approach that has been suggested to have the additional benefit (over vitrectomy) of counteracting the posteriorly directed tractional effects of posterior staphyloma by altering the posterior shape of the eye from a concave to a flatter form. Several approaches are used for MB surgery, [104][105][106] with similar anatomical and functional results. 107 Concomitant resolution of foveoschisis, retinal reattachment, and MH closure has been suggested to be achieved more frequently with MB than pars plana vitrectomy (PPV), particularly so in those with eyes of greater AL.…”

Section: Solution 3: Advanced Stage Disease Interventions: Current Anmentioning

confidence: 99%

Prevention and Management of Myopia and Myopic Pathology

Saw

Matsumura

Hoang

2019

Invest. Ophthalmol. Vis. Sci.

109

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Citation: Saw S-M, Matsumura S, Hoang QV. Prevention and management of myopia and myopic pathology. Invest Ophthalmol Vis Sci. 2019;60:488-499. https://doi.org/ 10.1167/iovs.18-25221 Myopia is fast becoming a global public health burden with its increasing prevalence, particularly in developed countries. Globally, the prevalence of myopia and high myopia (HM) is 28.3% and 4.0%, respectively, and these numbers are estimated to increase to 49.8% for myopia and 9.8% for HM by 2050 (myopia defined as À0.50 diopter [D] or less, and HM defined as À5.00 D or less). The burden of myopia is tremendous, as adults with HM are more likely to develop pathologic myopia (PM) changes that can lead to blindness. Accordingly, preventive measures are necessary for each step of myopia progression toward vision loss. Approaches to prevent myopia-related blindness should therefore attempt to prevent or delay the onset of myopia among children by increased outdoor time; retard progression from low/ mild myopia to HM, through optical (e.g., defocus incorporated soft contact lens, orthokeratology, and progressive-additional lenses) and pharmacological (e.g., low dose of atropine) interventions; and/or retard progression from HM to PM through medical/surgical treatments (e.g., anti-VEGF therapies, macula buckling, and scleral crosslinking). Recent clinical trials aiming for retarding myopia progression have shown encouraging results. In this article, we highlight recent findings on preventive and early interventional measures to retard myopia, and current and novel treatments for PM.

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A New Adjustable Macular Buckle Designed for Highly Myopic Eyes

Cited by 24 publications

References 4 publications

Illuminated Ando Plombe for Optimal Positioning in Highly Myopic Eyes With Vitreoretinal Diseases Secondary to Posterior Staphyloma

Illuminated Ando Plombe for Optimal Positioning in Highly Myopic Eyes With Vitreoretinal Diseases Secondary to Posterior Staphyloma

A Comparative Study between Vitrectomy with Internal Tamponade and a New Modified Fiber Optic Illuminated Ando Plombe for Cases of Macular Hole Retinal Detachment in Myopic Eyes

Prevention and Management of Myopia and Myopic Pathology

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