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KMID : 0213520110250040243
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Korean Journal of Ophthalmology
2011 Volume.25 No. 4 p.243 ~ p.247
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Macular Gradient Measurement in Myopic Posterior Staphyloma Using Optical Coherence Tomography
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Chae Ju-Byung
Moon Byung-Gil
Yang Sung-Jae
Lee Joo-Yong
Yoon Young-Hee
Kim June-Gone
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Abstract
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Purpose: To evaluate clinical characteristics and the macular gradient in myopic posterior staphyloma with time domain (TD) optical coherence tomography (OCT).
Methods: Sixty-four staphyloma eyes of 40 patients were examined. Macular gradient (tangent θ) and the location of staphyloma were assessed with OCT imaging. The macular gradient was measured at points 1 mm and 2 mm distant from the fovea. The relationships of the macular gradient with age, axial length, and spherical equivalent were analyzed.
Results: In 8 eyes (12.5%), the bottoms of the staphylomas were in the fovea, and there was no macular gradient. However, in the other 56 eyes (87.5%), the bottoms of the staphylomas were not in the foveal area, and macular gradients existed. Staphylomas were commonly located in the infero-nasal retinal area. The mean macular gradient (tangent θ) was 0.26 ± 0.08 at 1 mm distance from the fovea and 0.28 ± 0.10 at 2 mm. No significant relationships were observed between macular gradient and axial length, patient age, or spherical equivalent.
Conclusions: TD OCT reveals staphyloma location. If the location is outside of the fovea, a macular gradient exists and can be measured by OCT. Axial length measurement error may occur in eyes with poor visual fixation and steep macular gradients.
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KEYWORD
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Macula, Myopia, Optical coherence tomography
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