Myopia, Degenerative Clinical Trial
Official title:
Early Vitrectomy for Macular Tractional Maculopathy. Multicenter Clinical Trial
This study is designed to identify the effect of current vitreous surgery for symptomatic
macular tractional maculopathy.
Characteristics of this study is as below
1. Multicenter, prospective clinical trial. (early surgical intervention vs.surgical
intervention when full-thickness macular hole formation or deterioration of visual
acuity occurs)
2. Non-randomized study (decision was made by patients after full explanation)
3. After 1 year follow up, functional change(visual acuity)and anatomical change would be
evaluated
Degenerative myopia is relatively common disorder, especially in Korean, Japanese and
Chinese.
Choroidal neovascularization is well-noted cause of VA deterioration, but nowadays, with
improvement of diagnostic tools, such as OCT, VA deterioration from myopic tractional
maculopathy is being concerned as well.
But till now, the necessity of early vitrectomy on MTM is controversial. By now some
clinicians prefer conservative treatment, which means pars plana vitrectomy would be
postponed till structural change such as macular hole formation is noticed. And the others
prefer early vitrectomy, which means pars plana vitrectomy should be performed when the
symptom begins.
In this study, investigators try to verify the validity of early vitrectomy comparing
conservative treatment.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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