ASSOCIATION BETWEEN DOME-SHAPED MACULA AND POSTERIOR STAPHYLOMA IN HIGHLY MYOPIC EYES INVESTIGATED BY ULTRA-WIDEFIELD OPTICAL COHERENCE TOMOGRAPHY
ASSOCIATION BETWEEN DOME-SHAPED MACULA AND POSTERIOR STAPHYLOMA IN HIGHLY MYOPIC EYES INVESTIGATED BY ULTRA-WIDEFIELD OPTICAL COHERENCE TOMOGRAPHY
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超广角光学相干断层扫描高度近视眼圆顶状黄斑与后葡萄肿的关联
DOI：
10.1097/iae.0000000000002889
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Ohno-Matsui Kyoko
中科院分区：
文献类型：
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作者：
Saito Reina;Shinohara Kosei;Tanaka Noriko;Takahashi Hiroyuki;Yoshida Takeshi;Ohno-Matsui Kyoko
目的：探讨高度近视眼穹隆状黄斑（dome-shaped maculas，DSM）与后葡萄肿的关系，方法：对291例（511只眼）高度近视眼（屈光度≤-8.0D或眼轴≥ 26.5mm）进行了超宽视野扫描光源光学相干断层扫描（UWF-OCT）检查。结果：511只高度近视眼中，82只眼有DSM，其中45只眼（54.9%）有DSM，301只眼（70.2%）无DSM。有DSM的患眼葡萄肿的发生率显著低于无DSM的患眼（P= 0.007）。宽黄斑型葡萄肿是主要类型的眼睛与DSM（31/45眼，68.9%），而窄黄斑型和宽黄斑型葡萄肿几乎同样存在于眼睛没有DSM。结论：缺乏葡萄肿在45%的眼睛与DSM表明DSM的形式独立于后葡萄肿。圆顶状黄斑往往发生在后眼底扩张较大的眼睛中，应考虑后巩膜曲率异常。
Purpose:To investigate the relationship between dome-shaped maculas (DSMs) and posterior staphylomas in highly myopic eyes.Methods:Five hundred and eleven eyes of 291 patients with high myopia (refractive error≤− 8.0 diopters or axial length≥ 26.5 mm) were examined by ultra-widefield swept-source optical coherence tomography (UWF-OCT). Posterior staphylomas were identified by detecting the staphyloma edges in the UWF-OCT images.Results:Eighty-two eyes of the 511 highly myopic eyes had a DSM, and a posterior staphyloma was observed in 45 of 82 eyes with a DSM (54.9%) and in 301 of 429 eyes (70.2%) without a DSM. The incidence of staphylomas was significantly lower in eyes with a DSM than those without a DSM (P= 0.007). The wide macular type of staphyloma was the predominant type in eyes with a DSM (31/45 eyes; 68.9%), whereas the narrow macular type and wide macular type of staphylomas were present almost equally in the eyes without a DSM.Conclusion:The lack of staphylomas in 45% of eyes with a DSM suggests that DSMs form independently from posterior staphylomas. Dome-shaped maculas tend to occur in eyes with a large expansion of the posterior fundus and should be considered a posterior scleral curvature abnormality.