TEN-YEAR LONGITUDINAL MORPHOLOGIC CHANGES IN DOME-SHAPED MACULAS IN HIGHLY MYOPIC EYES.
Retina
; 43(11): 1852-1862, 2023 11 01.
Article
en En
| MEDLINE
| ID: mdl-37708469
ABSTRACT
PURPOSE:
To determine the longitudinal changes in the morphologic features of dome-shaped macula in highly myopic eyes.METHODS:
Patients with a dome-shaped macula and high myopia (spherical equivalent <-8 diopters [D] or axial length ≥26.5 mm) were retrospectively studied. The medical records, optical coherence tomographic images, and ultra-widefield optical coherence tomography images were analyzed.RESULTS:
A total of 113 eyes of 82 patients were studied with a mean follow-up of 122.32 ± 6.36 months. During the follow-up, the mean dome height was significantly increased from 181.51 ± 105.55 to 209.85 ± 130.84 µ m ( P < 0.001). There was also a significant increase in the axial length (30.83 ± 1.82-31.16 ± 1.86 mm; P < 0.001). Subgroup analyses showed that the dome height increased more than 50 µ m in 78 (69%) eyes, decreased in 23 (20%) eyes, and was stable in 12 (11%) eyes. The change in the axial lengths was significantly greater in the increased dome height group than in the decreased and stable dome height groups ( P = 0.042). Multivariable analysis showed that the greater axial length change (OR, 8.73; P = 0.017) and horizontal type dome-shaped macula (OR, 4.14; P = 0.026) were significantly associated with an increase in dome height.CONCLUSION:
The direction of change in the dome-shaped macula height varies and 69% of the eyes had an increase in height, whereas 20% of the eyes had a decrease in height. The variations in the dome height may result from the difference between the deepening of the peridome scleral excavation and the changes of the axial length.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Miopía Degenerativa
/
Mácula Lútea
/
Miopía
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Retina
Año:
2023
Tipo del documento:
Article