Pathology Associated with Optical Coherence Tomography Macular Bending due to either Dome-Shaped Macula or Inferior Staphyloma in Myopic Patients
Ophthalmologica, 06/22/2012
Exclusive author commentary
Coco RM et al. – Macular bending (MB) is not an uncommon clinical feature. Associated pathology prevalence in MB was elevated and similar in posterior and inferior staphylomas.
Rosa Coco (06/25/2012) comments:
In his case series of myopic eyes, Gaucher reported an unexpected inward type of macular profile within a posterior myopic staphyloma. (page 912, ritht column, 2nd paragraph in Gaucher´s paper). There, all cases indeed had type I or II primary myopic staphylomas combined with the dome-shaped macula (page 912, ritht column, 3rd paragraph in Gaucher´s paper).
On the other hand, if we observe an inferior staphyloma (associated or not to Tilted Disc Syndrome), the simple shape of the eye globe would explain the invagination. The latter would not be within the initial Gaucher´s description. That is why we thought about a new term including both situations: Macular Bending (MB).



