{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T23:43:53Z","timestamp":1793058233095,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe a comprehensive OCT-based classification of myopic traction maculopathy (MTM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Two hundred eighty-one eyes with MTM (visited from 2006 to 2018), were retrospectively reviewed for age, best-corrected-visual-acuity (BCVA), axial length (AL), optical coherence tomography (OCT), and wide-field color fundus-photographs. The study was divided in two Phases. Phase 1: MTM types were categorized with OCT and correlated with age and BCVA. The type of staphyloma was described. Phase 2: the evolution of MTM was studied evaluating at least three OCT exams of each eye taken at different timings (interval between each exam: 1\u201310\u2009years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Phase 1: We identified, four MTM retinal stages (1. Inner\/Outer Maculoschisis; 2. Predominantly outer Maculoschisis; 3. Maculoschisis-Macular Detachment; 4. Macular Detachment) and three foveal stages (a. Normal fovea; b. Inner Lamellar-Macular-Hole; c. Full-Thickness-Macular-Hole). Outer-Lamellar-Macular-Holes and epiretinal abnormalities were associated findings. Stages 1 to 2 were younger than stages 3 to 4 ( p\u2009&lt;\u20090.05). BCVA in stages 1, 2 was similar, and higher than stages 3, 4 ( p\u2009&lt;\u20090.02). About 14% of eyes had no staphyloma, 73% of eyes had staphyloma type 1 or 2. MTM stages were not correlated with AL. Phase 2: The retina could change in time from stage 1 to 4, or the fovea could change from stage a to c. Mean evolution time from stage 1 to 2, stage 2 to 3, and 3 to 4 were 20, 12, 3\u2009months, respectively. BCVA decreased over time as stages increased ( p\u2009=\u20090.47).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The MSS Table displays a new classification, the natural evolution, and practical insights for the management of MTM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120930590","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T03:09:14Z","timestamp":1591585754000},"page":"1299-1312","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":107,"title":["The new Myopic Traction Maculopathy Staging System"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7838-6834","authenticated-orcid":false,"given":"Barbara","family":"Parolini","sequence":"first","affiliation":[{"name":"Eyecare Clinic, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8263-7077","authenticated-orcid":false,"given":"Michele","family":"Palmieri","sequence":"additional","affiliation":[{"name":"Eyecare Clinic, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Finzi","sequence":"additional","affiliation":[{"name":"Villa Erbosa di Bologna, Bologna, Emilia-Romagna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Besozzi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Vito Fazzi Hospital, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Lucente","sequence":"additional","affiliation":[{"name":"Eyecare Clinic, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo","family":"Nava","sequence":"additional","affiliation":[{"name":"Eyecare Clinic, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajish","family":"Pinackatt","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Istituto Clinico S. Anna, Brescia, Lombardia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Adelman","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0247-2680","authenticated-orcid":false,"given":"Rino","family":"Frisina","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Padova, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"key":"bibr1-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/j.preteyeres.2018.10.005"},{"key":"bibr2-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.122.10.1455"},{"key":"bibr3-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)01937-2"},{"key":"bibr4-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)01394-6"},{"key":"bibr5-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2013.06.031"},{"key":"bibr6-1120672120930590","doi-asserted-by":"publisher","DOI":"10.3980\/j.issn.2222-3959.2012.06.19"},{"key":"bibr7-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.10.053"},{"key":"bibr8-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-200404000-00033"},{"key":"bibr9-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2010.123"},{"key":"bibr10-1120672120930590","doi-asserted-by":"crossref","unstructured":"Shimada N, Yoshida T, Sugamoto Y, et al. Progression from macular retinoschisis to retinal detachment in highly myopic eyes is associated with outer lamellar hole formation. 2008; 92(6): 762\u2013764.","DOI":"10.1136\/bjo.2007.131359"},{"key":"bibr11-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.03.035"},{"key":"bibr12-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-018-3995-8"},{"key":"bibr13-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-016-3371-5"},{"key":"bibr14-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)02080-9"},{"key":"bibr15-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-016-0195-3"},{"key":"bibr16-1120672120930590","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2015.01.022"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120930590","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672120930590","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120930590","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:45:45Z","timestamp":1777405545000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672120930590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,8]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1177\/1120672120930590"],"URL":"https:\/\/doi.org\/10.1177\/1120672120930590","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,8]]}}}