{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T18:03:42Z","timestamp":1784657022730,"version":"3.55.0"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2026,7,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/aims<\/jats:title>\n                    <jats:p>To determine the long-term effects of vitreoretinal surgery to treat myopic traction maculopathy (MTM) and to determine the differences in the postoperative results between fovea-sparing internal limiting membrane (ILM) peeling (FSIP) and total ILM peeling (TP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We studied 209 eyes of 189 patients with high myopia (refractive error &gt;6.0 dioptres (D) or an axial length \u226526.5\u2009mm) that had undergone pars plana vitrectomy (PPV) for MTM. The inclusion criteria were high myopia and a postoperative follow-up period of &gt;5 years. Surgical outcomes were compared between eyes treated with FSIP and those with TP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 28 eyes in the FSIP group and 38 eyes in the TP group. The preoperative and 1, 3 and 5 years postoperative best-corrected visual acuity was not significantly different between the FSIP group and the TP group. For eyes with a postoperative full-thickness macular hole (MH), there were 4 (14.3%) eyes in the FSIP group and 3 (7.9%) eyes in the TP group. The rate of the development of a postoperative MH was not significantly different between the two groups (p=0.668). There were 0 eyes in the FSIP group and 4 (10.5%) eyes in the TP group that developed postoperative macular atrophy (MA). This difference was not significant (p=0.212).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fovea sparing is useful both for improving vision and preventing complications. We suggest that FSIP has the possible benefit of avoiding postoperative MA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2025-328960","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T17:20:13Z","timestamp":1784654413000},"page":"bjo-2025-328960","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical outcome and late-onset complications 5 years after pars plana vitrectomy for myopic traction maculopathy"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1706-8354","authenticated-orcid":false,"given":"Tomonari","family":"Takahashi","sequence":"first","affiliation":[{"name":"Ophthalmology and Visual Science, Institute of Science Tokyo Graduate School of Medical and Dental Sciences, Bunkyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-5151","authenticated-orcid":false,"given":"Hiroyuki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Ophthalmology and Visual Science, Institute of Science Tokyo Graduate School of Medical and Dental Sciences, Bunkyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kengo","family":"Uramoto","sequence":"additional","affiliation":[{"name":"Ophthalmology and Visual Science, Institute of Science Tokyo Graduate School of Medical and Dental Sciences, Bunkyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8375-6879","authenticated-orcid":false,"given":"Kyoko","family":"Ohno-Matsui","sequence":"additional","affiliation":[{"name":"Ophthalmology and Visual Science, Institute of Science Tokyo Graduate School of Medical and Dental Sciences, Bunkyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"2026072110200657000_bjo-2025-328960v1.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2013.06.031"},{"key":"2026072110200657000_bjo-2025-328960v1.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00714-0"},{"key":"2026072110200657000_bjo-2025-328960v1.3","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1111\/j.1442-9071.2008.01887.x","article-title":"Removal of internal limiting membrane for recurrent myopic traction maculopathy","volume":"36","author":"Futagami","year":"2008","journal-title":"Clin Exp 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