Evidence map›Paper›PMID 40757765›Full record

Observational studyTranslational vision science & technology2025

Dome-Shaped Macula Curvature: A New Quantitative Metric to Assess Dome-Shaped Macula Subtypes.

Sebastiano Del Fabbro, Alessandro Arrigo, Lorenzo Bianco, Alessio Antropoli, Annamaria Nunziata, Ugo Introini, Daniele Giusto, Francesco Bandello, Maurizio Battaglia Parodi

Abstract readObservational Study
In one paragraph

Observational study in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sebastiano Del FabbroSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Alessandro ArrigoSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Lorenzo BiancoSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Alessio AntropoliSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Annamaria NunziataSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Ugo IntroiniSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Daniele GiustoDepartment of Electrical and Electronic Engineering, University of Cagliari, Cagliari, Italy.
Francesco BandelloSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Maurizio Battaglia ParodiSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To test a new quantitative metric focused on the evaluation of dome-shaped macula curvature (DSMC); to assess its clinical role in evaluating round (R-DSM), vertical (V-DSM), and horizontal (H-DSM) DSM types; and to examine its relationships with other ocular parameters. Methods: Patients affected by DSM secondary to high myopia were included in this cross-sectional, observational case study. DSMC was calculated by measuring the base (chord length) and height (distance from the chord to the apex) of the DSM. These measurements were used to determine the radius (R) of the hypothetical circle representing the curvature of the DSM. Curvature (K) was then calculated as the reciprocal of R. In addition, we measured choroidal thickness (CT), best-corrected visual acuity (BCVA), and spherical equivalent (SE) to assess its potential relationship with DSMC. Results: A total of 125 eyes from 107 patients (25 males, 23%) were included, with a mean age of 65.67 ± 13.51 years. DSM subtypes-categorized as 57 R-DSM eyes (45.6%), 58 H-DSM eyes (46.4%), and 10 V-DSM eyes (8%)-showed significantly different DSMC (P = 0.039), with R-DSM showing the highest DSMC values. Conversely, V-DSM and H-DSM were characterized by similar DSMC. Subfoveal CT showed a strong inverse correlation with DSMC (P < 0.0001; r = -0.60), with a consistent reduction in CT as curvature increased. DSMC was also significantly associated with SE, with higher DSMC values corresponding to greater myopic refractive errors (P = 0.009; r = -0.21). Conclusions: DSMC may be considered a reliable and reproducible quantitative metric to analyze DSM subtypes. The association of DSMC with CT highlights the influence of scleral curvature on choroidal morphology and trophism, paving the way for future new outcome measures. Translational Relevance: DSMC provides an objective and reproducible method to evaluate DSM morphology across subtypes (round, vertical, and horizontal). By quantifying curvature through OCT-based parameters, this metric enables standardized comparisons and enhances the clinical characterization of DSM. Furthermore, the study provides insights into the disease mechanisms by uncovering significant associations between DSMC and choroidal thickness.

Indexed as

Macula LuteaMyopiaMyopia, DegenerativeAdultAgedChoroidCross-Sectional StudiesFemaleHumansMaleMiddle AgedTomography, Optical CoherenceVisual Acuity

Identifiers

PMID40757765
PMCPMC12327540

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.