Effects of posterior staphyloma on choroidal structure in myopic adults: a retrospective study.


Journal

BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802

Informations de publication

Date de publication:
09 Oct 2023
Historique:
received: 09 06 2023
accepted: 28 09 2023
medline: 2 11 2023
pubmed: 10 10 2023
entrez: 9 10 2023
Statut: epublish

Résumé

Studies on the choroid of myopic eyes with posterior staphyloma have shown that choroidal thickness decreased. This retrospective study further analysed the effects of posterior scleral staphyloma on choroidal blood vessels and matrix components compared to non-pathological myopia. In this cross-sectional study, ninety-one eyes were divided into pathological (posterior staphyloma) and non-pathological myopia. The latter was further divided into three groups (Group 1: 26 mm ≤ axial length; Group 2: 24 mm ≤ axial length < 26 mm; Group 3: 22 mm ≤ axial length < 24 mm). Choroidal thickness, total choroidal area, luminal area, stromal area, and choroidal vascularity index were calculated. The CVI in N1, N2, I1, S2 of the posterior staphyloma group were lower than those of group 1 (both P < 0.05). The mean height of posterior staphyloma was associated with mean CT (Pearson correlation: r = -0.578, P = 0.039) but not with the mean CVI in posterior staphyloma group. In all groups, the mean choroidal thickness, total choroidal area, luminal area, and stromal area were significantly associated with axial length (P < 0.001), and the mean choroidal vascularity index was significantly associated with the mean choroidal thickness (P < 0.001). The choroidal structure of pathological myopia with posterior staphyloma and non-pathological myopia with longer axial length demonstrates alterations in which choroidal vessels are more impaired than the stroma. A lower choroidal vascularity index should be alert to pathological changes for myopia with axial length > 26 mm.

Sections du résumé

BACKGROUND BACKGROUND
Studies on the choroid of myopic eyes with posterior staphyloma have shown that choroidal thickness decreased. This retrospective study further analysed the effects of posterior scleral staphyloma on choroidal blood vessels and matrix components compared to non-pathological myopia.
METHODS METHODS
In this cross-sectional study, ninety-one eyes were divided into pathological (posterior staphyloma) and non-pathological myopia. The latter was further divided into three groups (Group 1: 26 mm ≤ axial length; Group 2: 24 mm ≤ axial length < 26 mm; Group 3: 22 mm ≤ axial length < 24 mm). Choroidal thickness, total choroidal area, luminal area, stromal area, and choroidal vascularity index were calculated.
RESULTS RESULTS
The CVI in N1, N2, I1, S2 of the posterior staphyloma group were lower than those of group 1 (both P < 0.05). The mean height of posterior staphyloma was associated with mean CT (Pearson correlation: r = -0.578, P = 0.039) but not with the mean CVI in posterior staphyloma group. In all groups, the mean choroidal thickness, total choroidal area, luminal area, and stromal area were significantly associated with axial length (P < 0.001), and the mean choroidal vascularity index was significantly associated with the mean choroidal thickness (P < 0.001).
CONCLUSION CONCLUSIONS
The choroidal structure of pathological myopia with posterior staphyloma and non-pathological myopia with longer axial length demonstrates alterations in which choroidal vessels are more impaired than the stroma. A lower choroidal vascularity index should be alert to pathological changes for myopia with axial length > 26 mm.

Identifiants

pubmed: 37814232
doi: 10.1186/s12886-023-03158-y
pii: 10.1186/s12886-023-03158-y
pmc: PMC10563244
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

406

Subventions

Organisme : National Natural Science Foundation of China
ID : 82271124
Organisme : Beijing Hospitals Authority Innovation Studio of Young Staff Funding Support
ID : 202103
Organisme : Training Fund for Open Projects at Clinical Institutes and Departments of Capital Medical University
ID : CCMU2022ZKYXZ001

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Zhuo-Hua Zhou (ZH)

Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China.

Pian-Pian Xiong (PP)

Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China.

Jiao Sun (J)

Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China.

Yan-Ling Wang (YL)

Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China. wangyanl@ccmu.edu.cn.

Jia-Lin Wang (JL)

Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Yong An Road 95th, Tian Qiao Street, Beijing, 100050, China. wangjialin@bjmu.edu.cn.

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