Clinical and morphologic features of posterior staphyloma edges by ultra-widefield imaging in pathologic myopia

Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lillian Liu ◽  
Yuxin Fang ◽  
Tae Igarashi-Yokoi ◽  
Hiroyuki Takahashi ◽  
Kyoko Ohno-Matsui
Keyword(s):  
Pathologic Myopia ◽  
Posterior Staphyloma

scholarly journals Decreased choroidal and scleral thicknesses in highly myopic eyes with posterior staphyloma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Un Chul Park ◽  
Eun Kyoung Lee ◽  
Bo Hee Kim ◽  
Baek-Lok Oh
Keyword(s):  
Choroidal Thickness ◽  
Structural Changes ◽  
Meta Analysis ◽  
Cross Sectional Study ◽  
Pathologic Myopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Swept Source ◽  
Posterior Staphyloma ◽  
Myopic Maculopathy

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.

Posterior staphyloma in pathologic myopia

2019 ◽  
Vol 70 ◽  
pp. 99-109 ◽  
Author(s):  
Kyoko Ohno-Matsui ◽  
Jost B. Jonas
Keyword(s):  
Pathologic Myopia ◽  
Posterior Staphyloma

scholarly journals Myopia: its historical contexts

2018 ◽  
Vol 102 (8) ◽  
pp. 1021-1027 ◽  
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.

Clinical Characteristics of Posterior Staphyloma in Eyes with Pathologic Myopia

2008 ◽  
Vol 146 (1) ◽  
pp. 102-110.e2 ◽  
Author(s):  
Huang Wei Hsiang ◽  
Kyoko Ohno-Matsui ◽  
Noriaki Shimada ◽  
Kengo Hayashi ◽  
Muka Moriyama ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Pathologic Myopia ◽  
Posterior Staphyloma

Posterior Staphyloma of Extreme Pathologic Myopia

2020 ◽  
Vol 138 (5) ◽  
pp. e191663
Author(s):  
Yun Hsia ◽  
Tzyy-Chang Ho
Keyword(s):  
Pathologic Myopia ◽  
Posterior Staphyloma

scholarly journals Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Bitton ◽  
J.-L. Bacquet ◽  
F. Amoroso ◽  
S. Mrejen ◽  
M. Paques ◽  
...  
Keyword(s):  
Valsalva Maneuver ◽  
Post Partum ◽  
Pathologic Myopia ◽  
Pathological Myopia ◽  
Case Presentation ◽  
Sudden Loss ◽  
Corrected Visual Acuity ◽  
First Case ◽  
History Of ◽  
Macular Hemorrhage

Abstract Background Pathologic myopia is a major cause of visual impairment and blindness. Case presentation We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage. Conclusions This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum. Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

scholarly journals Posterior staphyloma is associated with the microvasculature and microstructure of myopic eyes

2021 ◽  
Author(s):  
Fen Nie ◽  
Junyi Ouyang ◽  
Wenquan Tang ◽  
Lijia Luo ◽  
Mengdan Cao ◽  
...  
Keyword(s):  
Structural Characteristics ◽  
Anterior Chamber Depth ◽  
Multivariate Regression Analysis ◽  
Retinal Blood Flow ◽  
Retinal Layer ◽  
Retrospective Case ◽  
Posterior Staphyloma ◽  
Lens Position ◽  
Disc Area ◽  
Anterior Segments

Abstract Objective To investigate the microvasculature and structural characteristics of the eyes of myopic patients and their association with posterior staphyloma (PS). Methods This was a retrospective, case-control study comprising of 106 eyes from 72 individuals. Using 1:1 matching of axial length (AL) of their eyes, patients were allocated into a PS group or no posterior staphyloma (NPS) group. All patients were examined using ultra-widefield fundus imaging, optical coherence tomography angiography, and ocular biometry to acquire microvasculature and microstructure parameters. Results The anterior chamber depth (ACD) of the PS group was significantly different from that of the NPS group (3.56 mm vs 3.76 mm, P < 0.001), as was 1ens thickness (3.72 mm vs 3.57 mm, P = 0.005) and spherical equivalent (SE)(-10.11D vs -8.80D, P = 0.014). The PS group had reduced choriocapillaris flow, subfoveal choroidal thickness (SFCT), and a thinner retinal layer compared with the NPS group. No difference in retinal blood flow between the two groups was observed. The PS group exhibited a smaller disc area (15082.89 vs 17,043.32, P = 0.003) and angle α between temporal retinal arterial vascular arcades (113.29°vs 128.39°, P = 0.003), a larger disc tilt ratio (1.41 vs 1.24, P < 0.001) and parapapillary atrophy (PPA) area (13840.98 vs 8753.86, P = 0.020), compared with the NPS group. Multivariate regression analysis indicated that disc tilt ratio (P = 0.031) and SFCT (P = 0.015) were significant predictors of PS. In addition, PS (P = 0.049), AL (P = 0.003), corneal refractive power (P < 0.001), ACD (P = 0.022), relative lens position (P = 0.045), and disc area (P = 0.011) were significant predictors of SE. Conclusions PS was found to be closely linked to a reduction in choriocapillaris perfusion and anatomical abnormalities including posterior and anterior segments. Furthermore, PS exacerbated the progression of myopia.

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