Staphyloma II: Analyses of Morphological Features of Posterior Staphyloma in Pathologic Myopia Analyzed by a Combination of Wide-View Fundus Observation and 3D MRI Analyses

AbstractIn this cross-sectional study, we investigated choroidal thickness (CT) and scleral thickness (ST) in highly myopic eyes and their associations with ocular factors. Patients underwent widefield swept-source optical coherence tomography (OCT) to measure the CT and ST at the subfovea and 3000 μm superior, inferior, temporal, and nasal to the fovea and macular curvature. A total of 237 eyes (154 patients) were included. At all five measurement points, thinner CTs and STs were associated with longer axial lengths (r = − 0.548 to − 0.357, all P < 0.001) and greater macular curvatures (r = − 0.542 to − 0.305, all P < 0.001). The CT and ST were significantly thinner in eyes with posterior staphyloma than in those without at all measurement points (all P ≤ 0.006) but did not differ between eyes with the wide macular and narrow macular type of staphyloma. Eyes with myopic maculopathy of category ≥ 3 according to the International Meta-Analysis for Pathologic Myopia classification had significantly thinner CTs and STs than those with category ≤ 2 (all P ≤ 0.005). In highly myopic eyes, a decrease in the CT and ST was more pronounced in eyes with more structural changes, such as longer axial length, steeper macular curvature, and the presence of posterior staphyloma.

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Posterior staphyloma in pathologic myopia

Progress in Retinal and Eye Research ◽

10.1016/j.preteyeres.2018.12.001 ◽

2019 ◽

Vol 70 ◽

pp. 99-109 ◽

Cited By ~ 21

Author(s):

Kyoko Ohno-Matsui ◽

Jost B. Jonas

Keyword(s):

Pathologic Myopia ◽

Posterior Staphyloma

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A case of chronic central serous chorioretinopathy on the border of a posterior staphyloma in an eye with pathologic myopia

Japanese Journal of Ophthalmology ◽

10.1007/s10384-008-0664-1 ◽

2009 ◽

Vol 53 (3) ◽

pp. 282-284 ◽

Cited By ~ 2

Author(s):

Kyoko Ohno-Matsui ◽

Noriaki Shimada ◽

Muka Moriyama ◽

Takashi Tokoro ◽

Manabu Mochizuki

Keyword(s):

Central Serous Chorioretinopathy ◽

Pathologic Myopia ◽

Chronic Central Serous Chorioretinopathy ◽

Posterior Staphyloma

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Myopia: its historical contexts

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2017-311625 ◽

2018 ◽

Vol 102 (8) ◽

pp. 1021-1027 ◽

Cited By ~ 10

Author(s):

Paulus T V M de Jong

Keyword(s):

Intraocular Pressure ◽

21St Century ◽

High Myopia ◽

Extraocular Muscles ◽

Pathologic Myopia ◽

Clear Separation ◽

Posterior Staphyloma ◽

Elevated Intraocular Pressure ◽

Near Work

Worldwide, and especially in Asia, myopia is a major vision-threatening disorder. From AD 1600 on, to prevent myopia, authors warned against near work without sufficient pauses. There was an abundance of theories about the causes of myopia, the most common one being the necessity of extra convergence on nearby work with thickened extraocular muscles and elevated intraocular pressure. Ocular tenotomies against myopia were in vogue for a while. Axial lengthening of the eye in myopia was mentioned around 1700, but it took 150 years to become accepted as the most prevalent sign of high myopia. In 1864, a lucid concept of myopia and other ametropias arose through a clear separation between accommodation and refraction. Posterior staphyloma was known around 1800 and its association with myopia became evident some 30 years later. There still seems to be no generally accepted classification of myopia and particularly not of degenerative or pathologic myopia. This review focuses on myopia from 350 BC until the 21st century and on the earliest writings on the histology of eyes with posterior staphyloma. A proposal for myopia classification is given.

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