Role of Ultra-widefield Imaging in the evaluation of Long-te
A Study was conducted to evaluate the impact of posterior staphyloma identified using ultra-widefield fundus imaging on the long-term progression of myopic maculopathy in highly myopic patients.

Highly myopic patients who were followed up for at least 5 years using ultra-widefield fundus imaging were analysed for fundus abnormalities and the progression of myopic maculopathy based on the International Meta-analysis of Pathologic Myopia classification.

--This study included 390 eyes. Posterior staphyloma was identified in 198 eyes in the baseline ultra-widefield fundus images.

--The border of staphyloma was not identified within 50° view circle corresponding to conventional fundus photography in 42 eyes with staphyloma, most of that were wide macular type.

--Progression of myopic maculopathy during follow-up was observed in 202 eyes, and eyes with staphyloma were more likely to show progression compared to those without.

--The presence of posterior staphyloma was an independent risk factor for the progression of myopic maculopathy. One or more peripheral retinal lesions were observed in 302 eyes and 321 eyes in the baseline and final ultra-widefield fundus images, respectively.

Finally, posterior staphyloma was linked to the evolution of myopic maculopathy throughout time. Ultra-widefield fundus imaging, which has a larger field of view, is useful for detecting posterior staphyloma and tracking the course of myopic maculopathy in very myopic individuals.