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Two- and three-dimensional topographic analysis of pathologically myopic eyes with dome-shaped macula and inferior staphyloma by spectral domain optical coherence tomography

  • Retinal Disorders
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Abstract

Purpose

To investigate the posterior anatomical structure of pathologically myopic eyes with dome-shaped macula and inferior staphyloma using spectral domain optical coherence tomography (SD-OCT).

Methods

Our database of 260 pathologically myopic eyes was analyzed retrospectively to identify patients with dome-shaped macula and inferior staphyloma. All patients underwent vertical and horizontal SD-OCT scans across the central fovea, with three-dimensional macular map reconstruction. Best-corrected visual acuity, axial length, and choroidal thickness measurements were recorded. The macular bulge height was also analyzed in eyes with dome-shaped macula. In the three-dimensional images, the symmetry and orientation of the main plane of the inward incurvation of the macula were examined.

Results

Twenty-eight (10.7%) of the 260 pathologically myopic eyes had dome-shaped macula of one of three different types: a round radially symmetrical dome (eight eyes, 28.5%), a horizontal axially symmetrical oval-shaped dome (15 eyes, 53.5%), or a vertical axially symmetrical oval-shaped dome (five eyes, 17.8%). The macular bulge height was significantly greater in horizontal oval-shaped dome eyes (p = 0.01, for each comparison). Inferior posterior staphylomas were observed in ten (3.8%) of the 260 pathologically myopic eyes with asymmetrical macular bends.

Conclusions

Vertical and horizontal OCT sectional scanning in combination with three-dimensional macular map reconstruction provides important information for understanding the posterior anatomical structure of dome-shaped macula and inferior staphyloma in pathologically myopic eyes.

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Authors and Affiliations

  1. Department of Ophthalmology, Santiago de Compostela University Medical School, C/Ramon Baltar s/n, 15706, Santiago de Compostela-La Coruña, Spain

    Antonio García-Ben

  2. Department of Ophthalmology, Málaga University Medical School, Málaga, Spain

    Radua Kamal-Salah, Ignacio García-Basterra, Ana Gonzalez Gómez, María José Morillo Sanchez & Jose Manuel García-Campos

Authors
  1. Antonio García-Ben
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  2. Radua Kamal-Salah
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  3. Ignacio García-Basterra
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  4. Ana Gonzalez Gómez
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  5. María José Morillo Sanchez
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  6. Jose Manuel García-Campos
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Correspondence to Antonio García-Ben.

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Disclosure statement

The authors have no financial/proprietary interests in any of the materials or equipment used in this study.

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No funding was received for this research.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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García-Ben, A., Kamal-Salah, R., García-Basterra, I. et al. Two- and three-dimensional topographic analysis of pathologically myopic eyes with dome-shaped macula and inferior staphyloma by spectral domain optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 255, 903–912 (2017). https://doi.org/10.1007/s00417-017-3587-z

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  • DOI: https://doi.org/10.1007/s00417-017-3587-z

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