Macular Complications Associated With Posterior Staphyloma

Steidl, Scott M.; Pruett, Ronald C.

doi:10.1016/s0002-9394(14)71034-7

Cited by 151 publications

(95 citation statements)

References 13 publications

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“…12,13 The development of posterior staphyloma is thought to be accompanied by stretching of the posterior fundus, resulting in various retinal lesions. 14,15 Our observations revealed that not only the retina but also the optic disc could be affected by stretching of the posterior fundus when the posterior staphyloma is close to the ONH. To determine the effect of the posterior shape of the globe to glaucomatous optic disc changes and the location of VF defect, we analyzed the relationship between the morphological features of the optic disc and the location of VF damage according to the location of posterior staphyloma in NTG eyes with myopia.…”

Section: Introductionmentioning

confidence: 68%

Posterior staphyloma is related to optic disc morphology and the location of visual field defect in normal tension glaucoma patients with myopia

Park

Jung

Park

2014

Eye

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Purpose To determine the morphologic features of the optic disc and the location of visual field (VF) defect in relation to posterior staphyloma in normal tension glaucoma (NTG) eyes with myopia. Methods One hundred and thirty-four NTG patients with myopia were enrolled. B-scan ultrasonography was performed in enrolled patients. Disc tilt ratio, disc torsion, and area of peripapillary atrophy were measured from disc photographs. Patients were classified according to the presence of posterior staphyloma and its location: staphyloma involving the optic disc, staphyloma involving either the supero-temporal side of the optic disc or the infero-temporal side of the optic disc. The relationship between the location of the posterior staphyloma and that of the VF defect was analyzed. Results Among 134 eyes, 74 eyes (55.2%) had posterior staphyloma on B-scan ultrasonography. Mean torsion degree was significantly greater in eyes with staphyloma involving the temporal side of the optic disc (19.78±18.001) compared with eyes with staphyloma involving the optic disc (4.65±4.921, P ¼ 0.001). The frequency of the location of VF damage differed significantly between eyes with staphyloma involving the supero-temporal side and those involving the infero-temporal side of the optic disc (P ¼ 0.008), which was not significant in eyes with staphyloma involving the optic disc (P ¼ 0.813).Conclusions Optic disc torsion was a prominent finding in myopic NTG eyes when posterior staphyloma was located temporal to the optic disc. The location of posterior staphyloma was related to the direction of disc torsion and the location of VF defect.

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Section: Introductionmentioning

confidence: 68%

Posterior staphyloma is related to optic disc morphology and the location of visual field defect in normal tension glaucoma patients with myopia

Park

Jung

Park

2014

Eye

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“…Longer AXL and chorioretinal atrophy had close relationships with posterior staphyloma in high myopia. [9][10][11] Posterior staphyloma is recognized as an important factor in foveoschisis and foveal detachment without a macular hole. 7,8 Longer AXL, chorioretinal atrophy, and posterior staphyloma represent the outer ocular pouching forces resulting in pathologic changes.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with foveoschisis and foveal detachment without macular hole in high myopia

Chen

et al. 2007

Eye

126

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Purpose To investigate the associated factors of foveoschisis and foveal detachment without macular hole in highly myopic eyes. Methods A cross-sectional study of 124 eyes of 68 highly myopic patients was performed. The patients underwent complete ocular examination, fundus photography, and optical coherence tomography (OCT). Results Of the 124 eyes, 10 (8%, 10/124) had foveoschisis or foveal detachment without a macular hole on OCT examination. On the basis of univariate analysis, six variables were associated with the pathologic changes, including age over 40 years (P ¼ 0.018), spherical equivalent over 10 D (P ¼ 0.042), axial length over 31 mm (P ¼ 0.001), macular chorioretinal atrophy (P ¼ 0.00003), posterior staphyloma (P ¼ 0.0003), and vitreoretinal interface factors, including epiretinal membrane, posterior vitreoschisis, and vitreomacular traction (P ¼ 0.00002). In the multivariate analysis, three factors were independently associated with foveoschisis and foveal detachment without macular hole in high myopia: axial length, macular chorioretinal atrophy, and vitreoretinal interface factors. Conclusions Foveoschisis and foveal detachment without macular hole are sight-threatening disorders in highly myopic eyes. Axial length, macular chorioretinal atrophy, and vitreoretinal interface factors were independently associated with these pathological conditions. Thus, both intraocular and outer ocular wall factors play important roles and merit further study.

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“…Fatores sistêmicos, como a idade, têm importância maior em idosos (10) . Em relação ao estafiloma posterior, Steidl e Pruett notaram que pacientes com estafilomas de menor profundidade apresentavam uma maior freqüência de membranas neovasculares de coróide, hemorragias e pior acuidade visual, sugerindo que o desenvolvimento de membranas neovasculares de coróide requer uma preservação relativa dos coriocapilares (11) . Estes autores encontraram uma prevalência de 79,5% de estafilomas posteriores na análise de 116 olhos com erro refrativo miópico de, pelo menos, -3,00 dioptrias.…”

Section: Discussionunclassified