The important practical consideration while comparing the management options for MTM is that the outcome data of various surgical techniques differ in the hands of various surgeons. Most published data… Click to show full abstract
The important practical consideration while comparing the management options for MTM is that the outcome data of various surgical techniques differ in the hands of various surgeons. Most published data on vitrectomy in MTM is from surgeons with vast experience and may not translate equally in hands of all retinologists. The difficulty level of managing the vitreoschisis and avoiding a fullāthickness retinal break during ILM peel in the thinned macula under stretch are not adequately highlighted in the literature. Here lies the importance of learning an extraocular technique, i.e., the Macular Buckle, by a budding retinologist and probably then the success rate and complications of the two approaches can be truly compared. Till then the niche space for MB in MTM management is well established.
               
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