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

PURPOSE: 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...

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Autores principales: Baptista, Pedro Manuel, Silva, Nisa, Coelho, João, José, Diana, Almeida, Daniel, Meireles, Angelina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837539/
https://www.ncbi.nlm.nih.gov/pubmed/33519185
http://dx.doi.org/10.2147/OPTH.S294662
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author Baptista, Pedro Manuel
Silva, Nisa
Coelho, João
José, Diana
Almeida, Daniel
Meireles, Angelina
author_facet Baptista, Pedro Manuel
Silva, Nisa
Coelho, João
José, Diana
Almeida, Daniel
Meireles, Angelina
author_sort Baptista, Pedro Manuel
collection PubMed
description PURPOSE: 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.
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spelling pubmed-78375392021-01-28 Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy Baptista, Pedro Manuel Silva, Nisa Coelho, João José, Diana Almeida, Daniel Meireles, Angelina Clin Ophthalmol Original Research PURPOSE: 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. Dove 2021-01-22 /pmc/articles/PMC7837539/ /pubmed/33519185 http://dx.doi.org/10.2147/OPTH.S294662 Text en © 2021 Baptista et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Baptista, Pedro Manuel
Silva, Nisa
Coelho, João
José, Diana
Almeida, Daniel
Meireles, Angelina
Microperimetry as Part of Multimodal Assessment to Evaluate and Monitor Myopic Traction Maculopathy
title 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_short 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
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837539/
https://www.ncbi.nlm.nih.gov/pubmed/33519185
http://dx.doi.org/10.2147/OPTH.S294662
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