Influence of posterior staphyloma in myopic maculopathy and visual prognosis

Understanding Posterior Staphyloma in Pathologic Myopia: Current Overview, New Input, and Perspectives

“…12 Similarly, An et al found that 93.3% of their patients combined PS and macular retinoschisis. 25 Finally, PS was significantly associated with a higher degree of myopic maculopathy (ATN myopic maculopathy classification (Atrophic/Traction/Neovascularization)), 27 , 29 reaching 82% of eyes in the study of Guo et al 29 …”

“…The prevalence of PS in highly myopic eyes is between 10.9% and 92.8%. 21 , 22 This discrepancy results from different diagnostic methods, 12 , 17 , 21–27 definitions, 16 , 23 origins of populations, 21 , 22 , 28 ages, 12 , 21 and whether they were hospital-based, 22–25 , 27 or population-based studies. 17 , 21 , 28 Even recently, with the use of 3D-MRI, two studies showed a difference in prevalence, which could result from the specificities of these reference centers.…”

“…The prevalence of PS increases with age 17 , 21 , 35 , 37 and subjects with PS are significantly older than those without. 17 , 21 , 23 , 25 , 27 , 29 , 38 Moreno et al showed that the risk of PS increased by 10% per year of age. 38 Even in eyes without long AL, Wang et al, pointed out that those with PS belonged to older subjects.…”

“… 21 Therefore, they suggested that women with HM were likely to visit the hospital more frequently than men, which would explain why many studies looking at the complications of HM have included more women. 10 , 21 , 22 , 25 , 27 , 28 , 46 , 47 The reason of why the curvature of the eye is less smooth in women remains to be clarified.…”

“…Studies have consistently shown significantly worse mean best corrected visual acuity in highly myopic eyes with than without PS. 12 , 17 , 25 , 27 , 29 …”