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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-11-2016 | Retinal Disorders

Lamellar macular hole in high myopic eyes with posterior staphyloma: morphological and functional characteristics

Authors: Frisina Rino, Zampedri Elena, Marchesoni Ivan, Bosio Paolo, Parolini Barbara, Romanelli Federica

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2016

Abstract

Purpose

To study morphological and functional characteristics of myopic lamellar macular hole (LMH) with posterior staphyloma.

Methods

Retrospective observational longitudinal study. Forty myopic eyes affected by LMH and posterior staphyloma have been examined. Pathological myopia was defined as axial length equal or superior to 26.5 mm. LMH was defined on the basis of the following characteristics: irregular foveal contour, inner retinal defect with or without intraretinal splitting and absence of full thickness retinal defect. Demographic and functional parameters were: age, sex, status of lens and best corrected visual acuity (BCVA). Tomographic parameters were: type of LMH, macular retinoschisis (MRS), posterior vitreous detachment (PVD), type of epiretinal membrane (ERM), integrity of ellipsoid zone (EZ) and external limiting membrane (ELM), residual foveal thickness (RFT) and maximal diameter of intraretinal splitting (MDIRS).

Results

The statistical analysis showed a significant prevalence of posterior vitreous adherence in the atypical ERM subgroup (P = 0.001). EZ (P = 0.006) and ELM (P = 0.007) damages were significantly associated with the atypical ERM subgroup. RFT was statistically lower in the atypical ERM subgroup compared to the conventional ERM subgroup (P = 0.015). During the follow-up, the statistical analysis showed a significant reduction of RFT in the atypical ERM subgroup (P = 0.041).

Conclusions

Myopic lamellar macular hole (LMH) associated with atypical ERM is a more severe clinical entity than myopic LMH associated with conventional ERM.

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Title: Lamellar macular hole in high myopic eyes with posterior staphyloma: morphological and functional characteristics
Authors: Frisina Rino
Zampedri Elena
Marchesoni Ivan
Bosio Paolo
Parolini Barbara
Romanelli Federica
Publication date: 01-11-2016
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2016
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-016-3371-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Lamellar macular hole in high myopic eyes with posterior staphyloma: morphological and functional characteristics

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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