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Measurements of the parapapillary atrophy area and other fundus morphological features in high myopia with or without posterior staphyloma and myopic traction maculopathy

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International Journal of Ophthalmology(English edition) 2020年第8期13卷 1272-1280页

作者： Xiao-Xiao Guo Xi Chen Shan-Shan Li Min Li Xiu-Fen Yang Lu Zhao Ran You Yan-Ling Wang Department of Ophthalmology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Clinical Epidemiology and EBM Unit National Clinical Research Center for Digestive Disease Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

AIM:To investigate the affecting factors of parapapillary gamma and delta zones and other fundus morphological features in high ***:Seventy high myopia patients were included in this retrospective observational study and 47 patients were *** were divided into three groups:no posterior staphyloma(no PS),PS with myopic traction maculopathy(PS with MTM),and PS without MTM using 3-dimensional magnetic resonance imaging and optical coherence *** patients were fur ther classified into three types[epiretinal membrane,macular hole,and macular retinoschisis(MRS)].Diameters of the gamma and delta zones were measured among other morphometric variables using fundus ***:Of the 70 individuals(127 eyes),the mean age was 57.46±*** univariate analysis,morphological features changed most dramatically in PS with MTM patients,who had the largest gamma zone diameters,the largest disk-fovea distance(DFD)and disk-fovea angle,and the smallest angle kappa and vertical distance of temporal arterial ***,their horizontal delta zone diameter was smaller than in the patients with PS yet without *** multivariate analysis,with axial length(AL)and age adjusted,the horizontal diameter in the delta zone of the PS without MTM group was still significantly larger than in the PS with MTM group(P=0.024).Comparing the three subtypes of MTM patients,the diameters of the gamma zone and DFD in MRS group were the ***:The characteristics of the gamma and delta zones change inconsistently in different stages of high *** changes may be associated with anatomical changes caused by local *** such as PS,AL and age play an important *** findings may provide a hint about the pathogenesis of traction in high myopia.

关键词： high myopia myopization myopic traction maculopathy parapapillary delta zone parapapillary gamma zone posterior staphyloma

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Pathologic myopia

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Annals of Eye Science 2018年第1期3卷 58-68页

作者： Kyoko Ohno-Matsui Department of Ophthalmology and Visual Science Tokyo Medical and Dental UniversityTokyoJapan

Pathologic myopia is the major cause of the loss of the best-corrected visual acuity(BCVA)worldwide,especially in East Asian *** loss of BCVA is caused by the development of myopic macula patchy,myopic traction macula patchy,and myopic optic neuropathy(or glaucoma).The development of such vision-threatening complications is caused by eye deformity,characterized by a formation of posterior *** recent advance in ocular imaging has greatly facilitated the clarification of pathologies and pathogenesis of pathological myopia and myopia-related *** technologies include ultra-wide field fundus imaging,swept-source optical coherence tomography,and 3D *** addition,the new treatments such as anti-VEGF therapies for myopic choroid all neovascularization have improved the outcome of the ***-source OCT showed that some of the lesions of myopic maculopathy were not simply chorioretinal atrophy but were Bruch’s membrane *** of myopic traction maculopathy have been analyzed extensively by using *** understanding the pathophysiology of complications of pathologic myopia is considered useful for better management of this blinding eye disease.

关键词： Pathologic myopia(PM) posterior staphyloma myopic maculopathy myopic traction maculopathy(MTM)

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Resolving Myopic Foveoretinal Detachment by Fovea-Saving Internal Limiting Membrane Peeling: A Case-Series Report

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Open Journal of Ophthalmology 2023年第1期13卷 106-121页

作者： Miguel Angel Quiroz-Reyes Erick Andres Quiroz-Gonzalez Miguel Angel Quiroz-Gonzalez Virgilio Lima-Gomez Oftalmologia Integral ABC Retina Department Medical and Surgical Assistance Institution (Nonprofit Organization) Affiliated with the Postgraduate Studies Division at the National Autonomous University of Mexico Mexico City Mexico Juarez Hospital Public Assistance Institution (Nonprofit Organization) Mexico City Mexico

Background: In highly myopic eyes, myopic foveoschisis (MF), the earliest stage of myopic traction maculopathy (MTM), is present in up to 34% of patients with pathologic myopia and slowly progresses to form foveoretinal detachment (FRD) or macular hole (MH) with or without macular hole retinal detachment (MHRD) as a part of its natural history. Aim: To describe the microstructural and functional results in three highly myopic eyes that underwent macular surgery for early-stage MTM. The last postoperative structural findings were correlated with the final vision and macular automated microperimetry evaluation. Methods: We retrospectively reviewed three highly myopic eyes that underwent successful fovea-saving internal limiting membrane (FS-ILM) macular surgery for chronic FRD at Oftalmologia Integral ABC, Mexico City, Mexico. We performed postoperative multimodal microstructural and functional evaluations, including SD-OCT, SS-OCT, and microperimetric macular examinations. Results: There was a substantial difference between best-corrected visual acuity (BCVA) preoperatively and postoperatively in all three cases. Postoperative surgery was associated with significant improvement in visual acuity confirmed using a paired-sample permutation test. The mean presurgical BCVA value (LogMAR;mean ± SE) was ~0.83 ± 0.15, and the postsurgical value was ~0.43 ± 0.52 (P = 0.00065). The myopic foveoretinal detachment evaluation was ~7.3 ± 3.5 months, with a mean postoperative follow-up time of ~14 ± 4.08 months. Furthermore, postoperative multimodal imaging tests demonstrated an abnormal microstructural foveal SS-OCT pattern without evidence of macular hole (MH) development at the postoperative follow-up. Macular microperimetry confirmed a subclinical reduced macula threshold sensitivity with an anomalous retinal sensitivity analysis map and a stable central foveal fixation site. Conclusions: Even with the successful microstructural disappearance of myopic macular detachment, the

关键词： Automated Microperimetry Myopic Foveoretinal Detachment Myopic Foveoschisis Myopic Macular Hole Myopic Traction Maculopathy posterior staphyloma

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