Occurrence of myopic maculopathy in eyes with staphylomas of various localization

Bushnina L.V.

Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery»»

Pomytkina N.V.

Khabarovsk branch of S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”;
Far-Eastern State Medical University

ORCID: 0000-0001-8161-8643

Sorokin E.L.

Khabarovsk branch of S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”;
Far-Eastern State Medical University

ORCID: 0000-0002-2028-1140

Pashentsev Y.E.

Khabarovsk branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Occurrence of myopic maculopathy in eyes with staphylomas of various localization

Authors:

Bushnina L.V., Pomytkina N.V., Sorokin E.L., Pashentsev Y.E.

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Journal: Russian Annals of Ophthalmology. 2022;138(6): 55‑64

DOI: 10.17116/oftalma202213806155

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To cite this article:

Bushnina LV, Pomytkina NV, Sorokin EL, Pashentsev YE. Occurrence of myopic maculopathy in eyes with staphylomas of various localization. Russian Annals of Ophthalmology. 2022;138(6):55‑64. (In Russ.)
https://doi.org/10.17116/oftalma202213806155

Подписка 2025 (Russian Annals of Ophthalmology)

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PURPOSE

To study the occurrence frequency of various forms of myopic maculopathy in scleral staphylomas of different localization in patients with pathologic myopia.

MATERIAL AND METHODS

The study included 105 patients with high myopia (105 eyes, axial length ≥26 mm). The main group consisted of 50 patients with myopic scleral staphylomas (50 eyes). The comparison group — 55 patients (55 eyes) without scleral staphylomas.

RESULTS

In the main group, myopic maculopathy was detected in 82% of eyes, it was absent in 96% of eyes in the comparison group. In the main group there were: staphyloma of the posterior pole of the eye with involvement of the optic nerve head (ONH) — 44% of eyes; macular staphyloma — 28% of eyes; peripapillary staphyloma — 12% of eyes; staphyloma below the ONH — 16% of eyes. Atrophic, neovascular and traction maculopathy was revealed in 22 eyes with staphylomas of the posterior pole of the eye. Dome-shaped changes in the macula were revealed in 17 patients (19 eyes) of the main group (15 eyes with staphylomas of the posterior pole of the eye, 4 eyes with macular staphylomas). The highest average value of axial length (30.94±0.81 mm) was noted in eyes with macular staphylomas, and the lowest (28.58±1.62 mm) — with staphylomas near the ONH.

CONCLUSION

The presence of myopic maculopathy is associated with the presence of staphylomas with the odds ratio of 120.7 (95%, confidence interval 24.7—589.3). Staphyloma of the posterior pole of the eye and macular staphyloma were associated with the most severe forms of myopic maculopathy and low visual acuity.

Keywords:

high myopia

scleral staphyloma

myopic maculopathy

Authors:

Bushnina L.V.

Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery»»

Pomytkina N.V.

Khabarovsk branch of S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”;
Far-Eastern State Medical University

ORCID: 0000-0001-8161-8643

Sorokin E.L.

Khabarovsk branch of S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”;
Far-Eastern State Medical University

ORCID: 0000-0002-2028-1140

Pashentsev Y.E.

Khabarovsk branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Received:

14.05.2021

Accepted:

07.07.2021

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