{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:16:52Z","timestamp":1780395412556,"version":"3.54.1"},"reference-count":17,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>The objective of this paper was to determine how different types of posterior staphyloma (PS) may affect the appearance and degree of myopic maculopathy. A cross-sectional study was conducted, in which 467 eyes from 246 highly myopic patients [axial length (AL) \u2265 26 mm] were studied. A complete ophthalmic exploration was carried out on all patients, including imaging tests. The presence of macular PS was established as the main comparison variable between groups (macular PS vs. non-macular PS vs. non-PS). The variables analyzed included age, AL, decimal best-corrected visual acuity (BCVA), Atrophy (A)\/Traction (T)\/Neovascularization (N) components according to the ATN grading system, and the presence of severe pathologic myopia (PM). Out of the total, 179 eyes (38.3%) presented macular PS, 146 eyes presented non-macular PS (31.2%), and 142 eyes showed no PS (30.4%). The group without PS was significantly younger than macular PS and non-macular PS groups (53.85 vs. 66.57 vs. 65.20 years; p &lt; 0.001 each, respectively). There were no age differences between PS groups. Eyes with macular PS (31.47 \u00b1 2.30 mm) were significantly longer than those with non-macular PS (28.68 \u00b1 1.78 mm, p &lt; 0.001) and those without PS (27.47 \u00b1 1.34 mm, p &lt; 0.001). BCVA was significantly better in the non-PS group (0.75 \u00b1 0.27) compared to the non-macular PS (0.56 \u00b1 0.31) and macular PS groups (0.43 \u00b1 0.33), with p &lt; 0.001 each. Eyes without PS showed significantly lower A and T components (1.31 \u00b1 0.96 and 0.30 \u00b1 0.53, respectively) than non-macular PS (2.21 \u00b1 0.75 and 0.71 \u00b1 0.99, respectively, p &lt; 0.001 each) and macular PS eyes (2.83 \u00b1 0.64 and 1.11 \u00b1 1.10, respectively, p &lt; 0.001 each). The N component was lower in non-PS eyes vs. non-macular PS eyes (0.20 \u00b1 0.59 vs. 0.47 \u00b1 0.83, p &lt; 0.001) and as compared to the macular PS group (0.68 \u00b1 0.90, p &lt; 0.01). Additionally, the N component was significantly lower in the non-macular PS group than in the macular PS one (p &lt; 0.05). The prevalence of severe PM was different between groups (p &lt; 0.001). It was higher among macular PS eyes (138\/179) when compared to other groups (p &lt; 0.001, each), followed by the non-macular PS eyes (40\/146) and being the lowest in the non-PS group (20\/142). To conclude, macular PS is associated with a more advanced maculopathy, worse vision, and higher rates of severe PM.<\/jats:p>","DOI":"10.3390\/diagnostics14151581","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T07:57:23Z","timestamp":1721721443000},"page":"1581","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Importance of the Type of Posterior Staphyloma in the Development of Myopic Maculopathy"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1105-9265","authenticated-orcid":false,"given":"Jorge","family":"Ruiz-Medrano","sequence":"first","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"},{"name":"IMO Ocular Microsurgery Institute, Miranza Corporation, 28035 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5557-6822","authenticated-orcid":false,"given":"Mariluz","family":"Puertas","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4236-514X","authenticated-orcid":false,"given":"Ignacio","family":"Flores-Moreno","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"},{"name":"Cl\u00ednica Su\u00e1rez Leoz, 28010 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Almaz\u00e1n-Alonso","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3716-4992","authenticated-orcid":false,"given":"Mar\u00eda","family":"Garc\u00eda-Zamora","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bachar","family":"Kudsieh","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9636-0788","authenticated-orcid":false,"given":"Jos\u00e9 M.","family":"Ruiz-Moreno","sequence":"additional","affiliation":[{"name":"Puerta de Hierro-Majadahonda University Hospital, C\/Manuel de Falla, 1, 28222 Madrid, Spain"},{"name":"IMO Ocular Microsurgery Institute, Miranza Corporation, 28035 Madrid, Spain"},{"name":"Department of Ophthalmology, Castilla La Mancha University, 02001 Albacete, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ajo.2023.02.017","article-title":"Posterior Staphyloma as determining factor for myopic maculopathy","volume":"252","author":"Puertas","year":"2023","journal-title":"Am. 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