Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation
Purpose: To investigate the characteristics of macular outward scleral height (MOSH) in different grades of myopic tractional maculopathy (MTM) and explore the risk factors for MTM. Methods: A total of 188 eyes (188 participants) with high myopia were divided into the no MTM (nMTM) group and the MTM...
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| Format: | Article |
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MDPI AG
2022-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/6/1599 |
| _version_ | 1797470537469919232 |
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| author | Jingyang Feng Ruonan Wang Jiayi Yu Qiuying Chen Jiangnan He Hao Zhou Yuchen Du Chen Liu Weijun Wang Xun Xu Xian Xu Ying Fan |
| author_facet | Jingyang Feng Ruonan Wang Jiayi Yu Qiuying Chen Jiangnan He Hao Zhou Yuchen Du Chen Liu Weijun Wang Xun Xu Xian Xu Ying Fan |
| author_sort | Jingyang Feng |
| collection | DOAJ |
| description | Purpose: To investigate the characteristics of macular outward scleral height (MOSH) in different grades of myopic tractional maculopathy (MTM) and explore the risk factors for MTM. Methods: A total of 188 eyes (188 participants) with high myopia were divided into the no MTM (nMTM) group and the MTM group, which was further graded into foveoschisis, foveal detachment, full-thickness macular hole, and macular hole with retinal detachment. Swept-source optical coherence tomography was used to measure the MOSH. Results: No significant differences were found in axial length between the nMTM and MTM groups (<i>p</i> = 0.295). The MOSH was significantly higher in the MTM group (<i>p</i> < 0.001), which was identified as a risk factor for MTM (OR = 1.108, <i>p</i> < 0.001). The proportion of eyes with severe atrophic myopic maculopathy (AMM) was higher in the MTM group (28.48%) (<i>p</i> = 0.003). The macular hole with foveoschisis (MH/FS+) subgroup presented a higher average MOSH (<i>p</i> = 0.012) and more severe AMM (<i>p</i> = 0.009) than the macular hole without foveoschisis (MH/FS−) subgroup. Conclusion: MOSH would be more suitable for estimating MTM occurrence than axial length. The grading of AMM helps to evaluate the severity of MTM. The categorization of MH/FS− as a distinct grade from MH/FS+ might be preferable. |
| first_indexed | 2024-03-09T19:37:36Z |
| format | Article |
| id | doaj.art-7688bd6a7a114836adbc08147352e427 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T19:37:36Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7688bd6a7a114836adbc08147352e4272023-11-24T01:49:03ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116159910.3390/jcm11061599Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral DeformationJingyang Feng0Ruonan Wang1Jiayi Yu2Qiuying Chen3Jiangnan He4Hao Zhou5Yuchen Du6Chen Liu7Weijun Wang8Xun Xu9Xian Xu10Ying Fan11Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaShanghai Eye Disease Prevention and Treatment Center, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaSchool of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, Shanghai 200240, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, ChinaPurpose: To investigate the characteristics of macular outward scleral height (MOSH) in different grades of myopic tractional maculopathy (MTM) and explore the risk factors for MTM. Methods: A total of 188 eyes (188 participants) with high myopia were divided into the no MTM (nMTM) group and the MTM group, which was further graded into foveoschisis, foveal detachment, full-thickness macular hole, and macular hole with retinal detachment. Swept-source optical coherence tomography was used to measure the MOSH. Results: No significant differences were found in axial length between the nMTM and MTM groups (<i>p</i> = 0.295). The MOSH was significantly higher in the MTM group (<i>p</i> < 0.001), which was identified as a risk factor for MTM (OR = 1.108, <i>p</i> < 0.001). The proportion of eyes with severe atrophic myopic maculopathy (AMM) was higher in the MTM group (28.48%) (<i>p</i> = 0.003). The macular hole with foveoschisis (MH/FS+) subgroup presented a higher average MOSH (<i>p</i> = 0.012) and more severe AMM (<i>p</i> = 0.009) than the macular hole without foveoschisis (MH/FS−) subgroup. Conclusion: MOSH would be more suitable for estimating MTM occurrence than axial length. The grading of AMM helps to evaluate the severity of MTM. The categorization of MH/FS− as a distinct grade from MH/FS+ might be preferable.https://www.mdpi.com/2077-0383/11/6/1599high myopiaOCTmyopic tractional maculopathyatrophic myopic maculopathymacular outward scleral height |
| spellingShingle | Jingyang Feng Ruonan Wang Jiayi Yu Qiuying Chen Jiangnan He Hao Zhou Yuchen Du Chen Liu Weijun Wang Xun Xu Xian Xu Ying Fan Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation Journal of Clinical Medicine high myopia OCT myopic tractional maculopathy atrophic myopic maculopathy macular outward scleral height |
| title | Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation |
| title_full | Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation |
| title_fullStr | Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation |
| title_full_unstemmed | Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation |
| title_short | Association between Different Grades of Myopic Tractional Maculopathy and OCT-Based Macular Scleral Deformation |
| title_sort | association between different grades of myopic tractional maculopathy and oct based macular scleral deformation |
| topic | high myopia OCT myopic tractional maculopathy atrophic myopic maculopathy macular outward scleral height |
| url | https://www.mdpi.com/2077-0383/11/6/1599 |
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