{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:18:32Z","timestamp":1777580312990,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the diagnostic and prognostic utility of the atrophy-traction-neovascularization (ATN) classification in characterizing myopic maculopathy (MM) and identifying factors influencing its subtypes and visual outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>228 eyes (136 patients) with high myopia [spherical equivalent (SE)\u2009\u2264\u2009\u22126.00 diopters (D) or axial length (AL)\u2009\u2265\u200926.5\u2005mm] were assessed. Ocular evaluations included optical coherence tomography and ocular biometry. MM was classified into three subtypes: myopic atrophy-maculopathy (MAM), myopic tractional-maculopathy (MTM), and myopic neovascular-maculopathy (MNM). Final corrected-distance-visual-acuity (CDVA), AL, and SE were compared between eyes with and without MM and its subtypes. Univariate and multivariate models were used to identify related factors in each subtype: moderate-severe vision impairment (final CDVA between 20\/70\u201320\/400) and blindness (final CDVA\u2009&lt;\u200920\/400).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>MM was present in 58.8% of cases, 52.2% had MAM, 27.2% MNM and 14% MNM. Notably, fifteen eyes (11.2%) exhibited traction or neovascularization without atrophy. Eyes with MM exhibited worse BCVA, more negative SE, and longer AL than those without MM (p\u2009&lt;\u20090.001). AL\u2009\u2265\u200930\u2005mm was related to MAM (OR\u2009=\u20091.51; 95% CI 1.30\u20133.00; p\u2009=\u20090.004) and MNM (OR\u2009=\u20099.36; 95% CI 1.56\u201313.08; p\u2009=\u20090.021). Blindness was related to aged\u2009\u2265\u200950 years (OR\u2009=\u20092.80; 95% CI 1.30\u20136.05; p\u2009=\u20090.010), MTM (OR\u2009=\u20091.90; 95% CI 1.80\u20134.80; p\u2009=\u20090.029), and MNM (OR\u2009=\u20095.60; 95% CI 2.78\u201315.55; p\u2009=\u20090.005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The ATN classification is valuable for diagnosing and prognosing MM, as it identifies subtypes and key factors influencing visual outcomes. Notably, tractional and neovascular changes, detected in ATN but often undetectable on fundus photography, were linked to worse visual prognosis, reinforcing its clinical relevance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251340431","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T02:24:06Z","timestamp":1746757446000},"page":"1717-1727","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Characterization of myopic maculopathy and related factors of its subtypes and visual outcomes in a Colombian population"],"prefix":"10.1177","volume":"35","author":[{"given":"Mar\u00eda Alejandra","family":"G\u00f3mez-Rocha","sequence":"first","affiliation":[{"name":"Health Sciences Faculty, Universidad Industrial de Santander UIS, Bucaramanga, Colombia"},{"name":"Fundaci\u00f3n Oftalmol\u00f3gica de Santander FOSCAL, Floridablanca, Colombia"},{"name":"Centro 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