Prevalence of Macular Anatomic Abnormalities in High Myopia

Henaine-Berra, Andrée; Zand-Hadas, Igal M.; Fromow-Guerra, Jans; García-Aguirre, Gerardo

doi:10.3928/23258160-20130219-01

Cited by 65 publications

(37 citation statements)

References 15 publications

(14 reference statements)

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“…OCT is a sensitive method for detecting macular retinoschisis. [25][26][27] In our study, RMI revealed four eyes with macular retinoschisis that were identified by OCT. RMI showed a firework pattern in the central fovea that was consistent with the distribution of the external plexiform layer. Considering the morphologic arrangement in the central fovea, this firework pattern may indicate the splitting of the horizontally oriented internal cone fibers.…”

Section: Discussionsupporting

confidence: 47%

The noninvasive retro-mode imaging of confocal scanning laser ophthalmoscopy in myopic maculopathy: a prospective observational study

Zhang

et al. 2014

Eye

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Purpose To investigate the morphological features of myopic maculopathy with a new and noninvasive retro-mode imaging (RMI) technique using a confocal scanning laser ophthalmoscope. Methods A total of 42 patients (69 eyes) with myopic maculopathy were included. RMI combined with fundus photography, fundus fluorescein angiography, and optical coherence tomography together were used to observe and evaluate the morphological features of disease. Results Four in 4 eyes (100%) with macular retinoschisis were found with a characteristic pattern by RMI (firework pattern centrally with surrounding fingerprint pattern). Twenty-four in 24 eyes (100%) with pigment proliferation were found by RMI as dark plain patches, and 23 in 24 eyes with hemorrhage (95.8%) were found by RMI as gray bump. Atrophy of different degrees (12 in 14 eyes, 85.7%) was found by RMI as an area of pseudo-3D choroidal vessels or a fuzzy shadow but both without a clear boundary. Choroidal neovascularization (12 in 16 eyes, 75%) was identified laboriously by RMI as a vague raised region. Lacquer cracks were difficult to figure out in RMI. Conclusions Retinoschisis, pigment proliferation, hemorrhage, and atrophy secondary to myopic maculopathy have characteristic morphologic features in RMI; however, choroidal neovascularization and lacquer crack are not easily distinguishable in RMI.

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Section: Discussionsupporting

confidence: 47%

The noninvasive retro-mode imaging of confocal scanning laser ophthalmoscopy in myopic maculopathy: a prospective observational study

Zhang

et al. 2014

Eye

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“…Sometimes, the steepened curve of the posterior sclera caused by axial elongation may be confused with a staphyloma in some of the OCT studies. [51][52][53][54] Nevertheless, images obtained from T2-weighted MRI represented the fluid-filled chamber in the eye, which was not exactly the contour of the outer shell of the eye. OCT can be useful in studying the biometrics of the sclera, detecting more minute and subtle deformities within the staphyloma, and allows the analysis of the spatial relationship between morphology of the retinal and choroidal layers with the protruded sclera.…”

Section: Sclera and Staphylomamentioning

confidence: 99%

Advances of optical coherence tomography in myopia and pathologic myopia

Cheung

Luk

et al. 2016

Eye

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“…It is diagnosed by optical coherence tomography (OCT) as a splitting of the neuroretina into a thicker inner layer and a thinner outer layer in highly myopic patients [1]. Its prevalence has been reported to range from 9 to 20% [2,3]. Its pathogenesis and natural course are still uncertain.…”

Section: Introductionmentioning

confidence: 99%

Natural Course and Surgical Management of High Myopic Foveoschisis

et al. 2013

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Purpose: To describe the spectral-domain optical coherence tomographic characteristics, natural course and surgical management for eyes with myopic foveoschisis. Methods: The medical records of 39 consecutive patients (56 eyes) with myopic foveoschisis were retrospectively reviewed. Pars plana vitrectomy with internal limiting membrane peeling and Brilliant Blue G staining was performed on 16 symptomatic eyes (14 patients). Results: Optical coherence tomography at baseline showed an isolated foveoschisis in 62.5%, foveal detachment in 21.4%, and a lamellar hole in 16.1% of the eyes. After a mean follow-up period of 15.7 months, 1.8% of the eyes developed a full-thickness macular hole and 28.5% of the eyes required surgery. The mean preoperative visual acuity (VA) was 20/63 and the mean central retinal thickness (CRT) was 507.6 µm. The mean postoperative VA was 20/40 and the mean CRT 282.9 µm. Anatomical success was achieved in 75% of the eyes at a mean of 3.3 months after surgery, and 81.2% of the eyes had an improvement of 2 lines of VA. Conclusion: Myopic foveoschisis remained stable in most eyes; however, 28.5% of the eyes had decreases in VA secondary to progression of the foveoschisis and required surgery.

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Prevalence of Macular Anatomic Abnormalities in High Myopia

Abstract: Macular anatomic abnormalities were observed in 22.41% of eyes with high myopia and in 53.65% of eyes with posterior staphyloma.

Cited by 65 publications

References 15 publications

The noninvasive retro-mode imaging of confocal scanning laser ophthalmoscopy in myopic maculopathy: a prospective observational study

The noninvasive retro-mode imaging of confocal scanning laser ophthalmoscopy in myopic maculopathy: a prospective observational study

Advances of optical coherence tomography in myopia and pathologic myopia

Natural Course and Surgical Management of High Myopic Foveoschisis

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