Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia

Purpose: To investigate the association between different types of posterior staphyloma (PS) and refractive error (RE) after cataract surgery in patients with high myopia.Methods: This retrospective study included 113 eyes of 113 highly myopic patients with PS. PS was detected using a wide-field fun...

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Autores principales: Jing Wu, Ruochen Wang, Can Liu, Yu Zhou, Ziyuan Jiang, Fang Liu
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:e9897df87d0d43f7a34fea01996912772021-12-01T16:46:09ZAssociation Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia1664-229510.3389/fneur.2021.736404https://doaj.org/article/e9897df87d0d43f7a34fea01996912772021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.736404/fullhttps://doaj.org/toc/1664-2295Purpose: To investigate the association between different types of posterior staphyloma (PS) and refractive error (RE) after cataract surgery in patients with high myopia.Methods: This retrospective study included 113 eyes of 113 highly myopic patients with PS. PS was detected using a wide-field fundus imaging system. PS was classified into wide macular, narrow macular, and other types. RE equaled the actual spherical equivalent (SE) minus the targeted SE values 3 months after cataract surgery.Results: The rates of wide macular, narrow macular, and other types of PS were 46.02, 39.82, and 14.16%, respectively. There were no significant differences in best corrected distance visual acuity (BCDVA) or SE among the three classifications of PS before cataract surgery (P > 0.05). However, postoperative BCDVA and SE were significantly different among the three types of PS patients (P < 0.05). The average RE values were 0.98 ± 1.00 D, 0.19 ± 0.87 D, 0.13 ± 0.59 D, respectively; the statistical differences of RE were <0.01, <0.01, and 0.81 (wide macular vs. narrow macular, wide macular vs. other types, narrow macular vs. other types), respectively. Multivariate linear regression analysis revealed that higher hyperopia RE after surgery was associated with wide macular staphyloma (P < 0.001), more myopic SE (P = 0.003), and increased BCDVA (P = 0.002) before surgery.Conclusions: Wide macular PS may be associated with more hyperopic RE; it may serve as a critical biomarker of hyperopic RE after cataract surgery in highly myopic patients.Jing WuJing WuRuochen WangCan LiuYu ZhouZiyuan JiangFang LiuFang LiuFrontiers Media S.A.articlehigh myopiarefractive errorposterior staphylomacataract surgerybiomarkerNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic high myopia
refractive error
posterior staphyloma
cataract surgery
biomarker
Neurology. Diseases of the nervous system
RC346-429
spellingShingle high myopia
refractive error
posterior staphyloma
cataract surgery
biomarker
Neurology. Diseases of the nervous system
RC346-429
Jing Wu
Jing Wu
Ruochen Wang
Can Liu
Yu Zhou
Ziyuan Jiang
Fang Liu
Fang Liu
Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
description Purpose: To investigate the association between different types of posterior staphyloma (PS) and refractive error (RE) after cataract surgery in patients with high myopia.Methods: This retrospective study included 113 eyes of 113 highly myopic patients with PS. PS was detected using a wide-field fundus imaging system. PS was classified into wide macular, narrow macular, and other types. RE equaled the actual spherical equivalent (SE) minus the targeted SE values 3 months after cataract surgery.Results: The rates of wide macular, narrow macular, and other types of PS were 46.02, 39.82, and 14.16%, respectively. There were no significant differences in best corrected distance visual acuity (BCDVA) or SE among the three classifications of PS before cataract surgery (P > 0.05). However, postoperative BCDVA and SE were significantly different among the three types of PS patients (P < 0.05). The average RE values were 0.98 ± 1.00 D, 0.19 ± 0.87 D, 0.13 ± 0.59 D, respectively; the statistical differences of RE were <0.01, <0.01, and 0.81 (wide macular vs. narrow macular, wide macular vs. other types, narrow macular vs. other types), respectively. Multivariate linear regression analysis revealed that higher hyperopia RE after surgery was associated with wide macular staphyloma (P < 0.001), more myopic SE (P = 0.003), and increased BCDVA (P = 0.002) before surgery.Conclusions: Wide macular PS may be associated with more hyperopic RE; it may serve as a critical biomarker of hyperopic RE after cataract surgery in highly myopic patients.
format article
author Jing Wu
Jing Wu
Ruochen Wang
Can Liu
Yu Zhou
Ziyuan Jiang
Fang Liu
Fang Liu
author_facet Jing Wu
Jing Wu
Ruochen Wang
Can Liu
Yu Zhou
Ziyuan Jiang
Fang Liu
Fang Liu
author_sort Jing Wu
title Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
title_short Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
title_full Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
title_fullStr Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
title_full_unstemmed Association Between Types of Posterior Staphyloma and Refractive Error After Cataract Surgery for High Myopia
title_sort association between types of posterior staphyloma and refractive error after cataract surgery for high myopia
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/e9897df87d0d43f7a34fea0199691277
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