Morphological and clinical characteristics of myopic posterior staphyloma in Caucasians

Frisina, Rino; Baldi, Andrea; Cesana, Bruno Mario; Semeraro, Francesco; Parolini, Barbara

doi:10.1007/s00417-016-3359-1

Cited by 34 publications

(39 citation statements)

References 20 publications

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“…A similar study was also conducted on Caucasian patients, combining A and B-scan US, 3D MRI, OCT, fundus autofluorescence (FAF), red free (RF) and color fundus photography, confirming that there is an association between the type of PS and MRI shape pattern of the eye, OCT macular profile pattern and chorioretinal atrophy. 23 In 2017, Shinohara et al used widefield OCT (WF OCT) combined to 3D-MRI to examine 100 eyes of 57 patients affected by PS. The authors found that WF OCT could provide high-resolution images, potentially replacing 3D-MRI in assessing PS.…”

Section: Posterior Staphilomamentioning

confidence: 99%

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

Frisina¹,

Gius²,

Palmieri³

et al. 2020

OPTH

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Pathologic myopia (PM) is an ocular disorder characterized by a spherical equivalent (SE) of more than – 6.0 diopters (D) or by an axial length (AL) of more than 26.5 millimeters (mm). PM is associated with myopic maculopathy (MM). The ATN classification describes all the aspects of MM which regroups atrophic, tractional and neovascular consequences to the sclera, choroid and retina of highly myopic eyes. The advent of OCT allowed to define the ultrastructural characteristics of the tractional changes in MM, described by the term myopic traction maculopathy (MTM). They include foveoschisis/maculoschisis/retinoschisis (FS/MS/RS), retinal/foveal detachment (RD/FD), lamellar macular holes (LMH) and full-thickness macular holes (FTMH) with or without RD (MHRD). The MTM staging system (MSS) describes all foveal and retinal changes related to MTM and their natural history interpreting them as different stages of a single progressive disorder. The management of MTM can be just observation for the earliest cases with good vision or surgery for the severe stages with vision loss. There are two possible surgical approaches: ab externo, that acts on the alteration of the scleral shape and includes posterior scleral reinforcement and macular buckle. Ab interno, that targets the alteration of the foveal profile and consists in pars plana vitrectomy with removal of all the epiretinal tractions, maneuvers on the internal limiting membrane, and the use of intravitreal tamponade and laser. As they target two different sides of the same pathology, the two techniques have to be selected on the base of the MTM stage, single or combined.

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Section: Posterior Staphilomamentioning

confidence: 99%

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

Frisina¹,

Gius²,

Palmieri³

et al. 2020

OPTH

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“…In contrast, in high myopic eyes, MH formation is related to more complex pathogenetic mechanisms [ 33 – 38 ]. In addition to the anteroposterior traction caused by the strong adhesion of vitreous cortex and to the tangential traction from the tightening of the ILM, an important role is reserved to the abnormal growth of myopic eyes that may result in the development of posterior staphyloma (PS) defined as a progressive scleral ectasia of the posterior ocular globe wall ( Figure 1(a) ) [ 39 ].…”

Section: Pathogenesismentioning

confidence: 99%

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Giacinto

Pastore

Cirigliano

et al. 2019

Journal of Ophthalmology

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Macular hole (MH) in myopic eyes is a disease arising from complex tractional forces exerted by vitreomacular interface, epiretinal tissue, and progressive scleral ectasia of the posterior ocular globe wall. This retinal disease requires vitreoretinal treatment for its repair, and the surgical intervention remains a challenge also for experienced surgeons. The aim of this review is to describe the current knowledge regarding the pathogenesis of MH in myopic eyes and to detail novel surgical techniques and technological advancements in its surgical management.

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“…[4] The prevalence of macular atrophy is higher in macular staphylomas compared to other types of staphylomas. [5]…”

Section: Introductionmentioning

confidence: 99%

Estimation of morphological characteristics in asymmetrical myopic posterior staphyloma using optical coherence tomography

Bontzos

Papadaki

Maris

et al. 2018

Middle East Afr J Ophthalmol

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PURPOSE:Posterior staphyloma is an ocular complication associated with high myopia and reflects degenerative changes on the sclera. Its morphology is associated with chorioretinal atrophy and myopic maculopathy. The purpose of this study was to validate the efficacy of optical coherence tomography (OCT) in providing a simple estimation of the staphyloma pattern.MATERIALS AND METHODS:Observational case-series study of high myopic patients with posterior staphylomas. Patients were examined using the star scan pattern OCT in different radial planes. Three-dimensional (3D) magnetic resonance tomography was also performed to visualize the anatomical characteristics of the posterior pole. 3D-segmentation and curvature analysis were also performed.RESULTS:Eight patients were totally enrolled in this pilot study. Our study pool consisted of 2 wide macular staphylomas, 2 narrow macular staphylomas, and 4 barrel-shaped staphylomas. Our preliminary results revealed that patients displayed mirror-image distortion in the steeper staphyloma axis. In the barrel-shaped subtype, no image distortion was displayed in any plane.CONCLUSION:We estimated the axis of the smaller base curvature by noting the distortion pattern in the different radial axis. The recognition of pathologic axial myopia is important since there is a risk of permanent vision loss from vision to threatening sequelae.

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Morphological and clinical characteristics of myopic posterior staphyloma in Caucasians

Cited by 34 publications

References 20 publications

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Estimation of morphological characteristics in asymmetrical myopic posterior staphyloma using optical coherence tomography

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