Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy

Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy

Pedro Manuel Baptista,1 Nisa Silva,1 João Coelho,1 Diana José,1 Daniel Almeida,1 Angelina Meireles1,2 1Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal; 2Instituto de Ciências Biomédicas Abel Salazar, Porto, Por...

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Autores principales: Baptista PM, Silva N, Coelho J, José D, Almeida D, Meireles A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
foveoschisis
high myopia
microperimetry
myopic traction maculopathy
retinal atrophy
staphyloma.
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/615b222aecf94fbaa5ba16ac0c195f3a
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spelling oai:doaj.org-article:615b222aecf94fbaa5ba16ac0c195f3a2021-12-02T10:55:25ZMicroperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy1177-5483https://doaj.org/article/615b222aecf94fbaa5ba16ac0c195f3a2021-01-01T00:00:00Zhttps://www.dovepress.com/microperimetry-as-part-of-multimodal-assessment-to-evaluate-and-monito-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Pedro Manuel Baptista,1 Nisa Silva,1 João Coelho,1 Diana José,1 Daniel Almeida,1 Angelina Meireles1,2 1Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal; 2Instituto de Ciências Biomédicas Abel Salazar, Porto, PortugalCorrespondence: Pedro Manuel BaptistaCentro Hospitalar Universitário do Porto, Largo Prof. Abel Salazar, Porto 4099-001, PortugalTel +351 917868372Email pedroyybaptista@gmail.comPurpose: To characterize a population of high myopes with myopic traction maculopathy (MTM), to assess their retinal function, and to correlate it with anatomic status.Patients and Methods: This was an observational cross-sectional study including 50 eyes from 27 patients. Demographic and clinical data were analyzed. Macular structure was assessed with spectral domain optical coherence tomography (SD-OCT, Heidelberg®) and macular function was studied with Microperimeter MP-3, NIDEK®.Results: The average for central foveal thickness (CFT) and choroid thickness (CT) was 213± 151 μm and 36± 23 μm, respectively, in a total of 50 eyes from 27 patients. In the microperimetry analysis, the average sensitivity on the foveal-centered 12º polygon (CPS) was 14.37± 9.1 dB. CT was negatively associated with the bivariate contour ellipse areas (BCEA) 1 (r=− 0.314; p=0.034), 2 (r=− 0.314; p=0.034), and 3 (r=− 0.316; p=0.033). CPS had a strong positive correlation with best-corrected visual acuity (BCVA) (r=0.661; p=0.000). We found a trend to worse microperimetric results in eyes with schisis (n=19) (p> 0.05) but eyes with atrophic areas (n=33) presented significant inferior CPS (p< 0.001). The presence of staphyloma showed significant impact on macular sensitivities in eyes with areas of macular atrophy/fibrosis (p< 0.05).Conclusion: Macular microperimetry analysis can have a role as part of a multimodal anatomo-functional assessment for a more precise characterization of the high myopic patients with MTM, optimizing medical and surgical decisions.Keywords: foveoschisis, high myopia, microperimetry, myopic traction maculopathy, retinal atrophy, staphylomaBaptista PMSilva NCoelho JJosé DAlmeida DMeireles ADove Medical Pressarticlefoveoschisishigh myopiamicroperimetrymyopic traction maculopathyretinal atrophystaphyloma.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 235-242 (2021)
institution DOAJ
collection DOAJ
language EN
topic foveoschisis
high myopia
microperimetry
myopic traction maculopathy
retinal atrophy
staphyloma.
Ophthalmology
RE1-994
spellingShingle foveoschisis
high myopia
microperimetry
myopic traction maculopathy
retinal atrophy
staphyloma.
Ophthalmology
RE1-994
Baptista PM
Silva N
Coelho J
José D
Almeida D
Meireles A
Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
description Pedro Manuel Baptista,1 Nisa Silva,1 João Coelho,1 Diana José,1 Daniel Almeida,1 Angelina Meireles1,2 1Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal; 2Instituto de Ciências Biomédicas Abel Salazar, Porto, PortugalCorrespondence: Pedro Manuel BaptistaCentro Hospitalar Universitário do Porto, Largo Prof. Abel Salazar, Porto 4099-001, PortugalTel +351 917868372Email pedroyybaptista@gmail.comPurpose: To characterize a population of high myopes with myopic traction maculopathy (MTM), to assess their retinal function, and to correlate it with anatomic status.Patients and Methods: This was an observational cross-sectional study including 50 eyes from 27 patients. Demographic and clinical data were analyzed. Macular structure was assessed with spectral domain optical coherence tomography (SD-OCT, Heidelberg®) and macular function was studied with Microperimeter MP-3, NIDEK®.Results: The average for central foveal thickness (CFT) and choroid thickness (CT) was 213± 151 μm and 36± 23 μm, respectively, in a total of 50 eyes from 27 patients. In the microperimetry analysis, the average sensitivity on the foveal-centered 12º polygon (CPS) was 14.37± 9.1 dB. CT was negatively associated with the bivariate contour ellipse areas (BCEA) 1 (r=− 0.314; p=0.034), 2 (r=− 0.314; p=0.034), and 3 (r=− 0.316; p=0.033). CPS had a strong positive correlation with best-corrected visual acuity (BCVA) (r=0.661; p=0.000). We found a trend to worse microperimetric results in eyes with schisis (n=19) (p> 0.05) but eyes with atrophic areas (n=33) presented significant inferior CPS (p< 0.001). The presence of staphyloma showed significant impact on macular sensitivities in eyes with areas of macular atrophy/fibrosis (p< 0.05).Conclusion: Macular microperimetry analysis can have a role as part of a multimodal anatomo-functional assessment for a more precise characterization of the high myopic patients with MTM, optimizing medical and surgical decisions.Keywords: foveoschisis, high myopia, microperimetry, myopic traction maculopathy, retinal atrophy, staphyloma
format article
author Baptista PM
Silva N
Coelho J
José D
Almeida D
Meireles A
author_facet Baptista PM
Silva N
Coelho J
José D
Almeida D
Meireles A
author_sort Baptista PM
title Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title_short Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title_full Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title_fullStr Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title_full_unstemmed Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title_sort microperimetry as part of multimodal assessment to evaluate and monitor myopic traction maculopathy
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/615b222aecf94fbaa5ba16ac0c195f3a
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