{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:39:21Z","timestamp":1780612761136,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81570862"],"award-info":[{"award-number":["81570862"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81500709"],"award-info":[{"award-number":["81500709"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To assess the functional and structural outcomes of macular buckling using a silicone sponge\u2010titanium exoplant for the treatment of foveoschisis (<jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>) and full\u2010thickness macular holes (<jats:styled-content style=\"fixed-case\">FTMH<\/jats:styled-content>s) in highly myopic eyes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010nine consecutive patients with high myopia who underwent macular buckling for the treatment of <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FTMH<\/jats:styled-content>s were included. The outcomes measured included the anatomical success rate with <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> resolution, retinal reattachment, <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> closure, best corrected visual acuity (<jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content>), axial length (<jats:styled-content style=\"fixed-case\">AL<\/jats:styled-content>) and complications of surgery. Moreover, the correlations between the <jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content> at year three and series of factors, including age, duration of symptoms, baseline <jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> AL<\/jats:styled-content>, surgical type, preoperative macular status and severity of myopic maculopathy, were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study involved 28 patients (28 eyes) with <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> and 21 patients (21 eyes) with <jats:styled-content style=\"fixed-case\">FTMH<\/jats:styled-content>s with macular detachment. Retinal reattachment was achieved in 100% of cases, while <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> closure was achieved in 76.19% of cases. The <jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content> significantly improved one year after macular buckling in the <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> cases and two years after macular buckling in the <jats:styled-content style=\"fixed-case\">FTMH<\/jats:styled-content> cases, and it remained stable throughout the rest of the follow\u2010up period. The mean <jats:styled-content style=\"fixed-case\">AL<\/jats:styled-content> decreased by 2.09\u00a0mm postoperatively. No major perioperative complications were observed, although one patient needed to explant the buckling device due to intolerable diplopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Macular buckling with a silicone sponge\u2010titanium exoplant may represent a safe and effective surgical option for the treatment of <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FTMH<\/jats:styled-content> in highly myopic eyes. Macular buckling showed a high closure rate and virtually no tendency to recur.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14305","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T18:22:07Z","timestamp":1574187727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Three\u2010year outcomes of macular buckling for macular holes and foveoschisis in highly myopic eyes"],"prefix":"10.1111","volume":"98","author":[{"given":"Xiujuan","family":"Zhao","sequence":"first","affiliation":[{"name":"State Key Laboratory of Ophthalmology Zhongshan Ophthalmic Center Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Ma","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology Zhongshan Ophthalmic Center Sun Yat\u2010sen University Guangzhou 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