Posterior Staphylomas in Pathologic Myopia Imaged by Widefield Optical Coherence Tomography

Shinohara, Kosei; Shimada, Noriaki; Moriyama, Muka; Yoshida, Takeshi; Jonas, Jost B.; Yoshimura, Nagahisa; Ohno‐Matsui, Kyoko

doi:10.1167/iovs.17-22319

Cited by 93 publications

(106 citation statements)

References 24 publications

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“…Contour abnormalities of the choroid and sclera are well seen using EDI and SS OCT, and even more so in high myopia where the penetration is deeper due to the thinner choroid and relatively depigmented RPE. These include posterior staphyloma,[ 96 97 98 ] dome-shaped macula. [ 60 99 100 101 ] peripapillary and macular intrachoroidal cavitations,[ 61 62 ] and optic pits and colobomas[ 102 103 104 ]…”

Section: Choroidal Imagingmentioning

confidence: 99%

Optical coherence tomography: A guide to interpretation of common macular diseases

Bhende¹,

Shetty²,

Parthasarathy

et al. 2018

Indian J Ophthalmol

116

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Optical coherence tomography is a quick, non invasive and reproducible imaging tool for macular lesions and has become an essential part of retina practice. This review address the common protocols for imaging the macula, basics of image interpretation, features of common macular disorders with clues to differentiate mimickers and an introduction to choroidal imaging. It includes case examples and also a practical algorithm for interpretation.

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Section: Choroidal Imagingmentioning

confidence: 99%

Optical coherence tomography: A guide to interpretation of common macular diseases

Bhende¹,

Shetty²,

Parthasarathy

et al. 2018

Indian J Ophthalmol

116

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“…17 Later, Ohno-Matsui et al 18 using three-dimensional magnetic resonance imaging (3D-MRI) and ultra-widefield fundus imaging proposed another classification into 6 types, based on the shape, location and shape of the staphyloma. Shinohara et al 19 have recently concluded that widefield OCT may replace 3D-MRI in assessing posterior staphylomas. In our case, patients were examined with posterior OCT with 6 radial scans on the 6-mm central macular area and those diagnosed with posterior staphyloma were classified as type IV and V according to the Ohno-Matsui et al 18 classification.…”

Section: Methodsmentioning

confidence: 99%

<p>Implantation of a Trifocal Intraocular Lens in High Myopic Eyes with Nasal-Inferior Staphyloma</p>

Alfonso-Bartolozzi¹,

Villota²,

González³

et al. 2020

OPTH

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Purpose: To assess visual outcomes in high myopic eyes with nasal-inferior staphyloma implanted with a pseudophakic trifocal intraocular lens (IOL). Methods: We retrospectively analyzed the visual outcomes of 50 eyes of 45 patients who had cataract surgery after AT LISA trifocal IOL implantation. Twenty-five eyes diagnosed with posterior staphyloma (nasal-inferior, type IV and V), and 25 eyes as long eyes. Uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) values were used to assess the efficacy and safety of the surgery. Refraction and defocus curves were also evaluated at 6 months. Results: No intra-or post-operative problems occurred during the 6 months of follow-up. After the surgery, the mean Snellen decimal UDVA ranged from 0.50 to 1.00, and CDVA from 0.60 to 1.00 for both groups. CDVA was 0.91 and 0.74 for the long eye and nasalinferior staphyloma groups, respectively. Efficacy and safety indexes were 1.22 and 1.32 for the long eye, and 1.26 and 1.43 for the nasal-inferior staphyloma group, respectively. All eyes of both groups showed a postoperative spherical equivalent within ±1.00D. The long eye group showed the highest percentage of spherical equivalent between −0.13D and +0.13D (56%) and the nasal-inferior staphyloma group was between −0.51D and −0.14D (40%). Conclusion: The outcomes of the present study show that a trifocal IOL provides good visual acuity in high myopic eyes, being worse for nasal-inferior staphyloma eyes. The degree of tilt of the macular plane is related with the expected visual acuity.

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“…The authors found that WF OCT could provide high-resolution images, potentially replacing 3D-MRI in assessing PS. 24 …”

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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Posterior Staphylomas in Pathologic Myopia Imaged by Widefield Optical Coherence Tomography

Cited by 93 publications

References 24 publications

Optical coherence tomography: A guide to interpretation of common macular diseases

Optical coherence tomography: A guide to interpretation of common macular diseases

<p>Implantation of a Trifocal Intraocular Lens in High Myopic Eyes with Nasal-Inferior Staphyloma</p>

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

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