Aim To employ ultrawide field three-dimensional swept-source optical coherence tomographic angiography (UWF 3D SS-OCTA) modality, integrating novel strategies, posterior eye curvature maps and posterior eye height maps, in characterising the features and disease associations of posterior staphyloma in paediatric patients. This study seeks to compare paediatric staphylomas to established adult classifications, identify distinct paediatric patterns and introduce a new classification system for paediatric staphyloma using advanced multimodal imaging. Methods UWF 3D SS-OCTA imaging, integrating posterior eye curvature maps and posterior eye height maps strategies, was employed to analyse staphyloma presentations in the paediatric cohort. These data were then set against the traditionally established adult classifications. Additionally, the aetiology of staphylomas was investigated. Results The UWF 3D SS-OCTA modality, when integrated with posterior eye curvature maps and posterior eye height map, showcased superior imaging detail and better classification compared with UWF scanning laser ophthalmoscope, offering a more nuanced view of staphyloma patterns in paediatric patients. Specifically, only 54.7% of the paediatric cohort fit into previously recognised categories. The paediatric group displayed prominent temporal and inferior temporal staphylomas, likely linked to the high prevalence of peripheral vascular diseases. The study led to the proposal of five unique paediatric staphyloma classifications. Conclusions The UWF 3D SS-OCTA modality with posterior eye curvature maps and posterior eye height maps offers unparalleled insights into staphyloma patterns, especially in paediatric patients. Paediatric staphylomas exhibit a unique presentation, divergent from adults, with two novel types identified. The findings underline the importance of updating classification systems, ensuring they reflect the realities observed in paediatric pathology and diagnostics. Data are available on reasonable request.

中文翻译：

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小儿葡萄球瘤分类：超宽场三维扫描源光学相干断层扫描血管造影的新视角


目的 采用超宽视野三维扫描源光学相干断层扫描血管造影 （UWF 3D SS-OCTA） 模式，整合新策略、后眼曲率图和后眼高度图，表征儿科患者后葡萄肿的特征和疾病关联。本研究旨在将儿科葡萄瘤与已建立的成人分类进行比较，确定不同的儿科模式，并使用先进的多模态成像引入新的儿科葡萄瘤分类系统。方法 采用 UWF 3D SS-OCTA 成像，整合眼后曲率图和后眼高度图策略，分析儿科队列中的葡萄肿表现。然后将这些数据与传统建立的成人分类进行比较。此外，还调查了葡萄球菌的病因。结果 UWF 3D SS-OCTA 模态与后眼曲率图和后眼高度图相结合时，与 UWF 扫描激光检眼镜相比，表现出卓越的成像细节和更好的分类，为儿科患者葡萄球瘤模式提供更细致的视图。具体来说，只有 54.7% 的儿科队列属于先前认可的类别。儿科组表现出明显的颞下颞葡萄球瘤，可能与外周血管疾病的高患病率有关。该研究导致提出了五种独特的儿科葡萄球瘤分类。结论 带有后眼曲率图和后眼高度图的 UWF 3D SS-OCTA 模式为葡萄球瘤模式提供了无与伦比的见解，尤其是在儿科患者中。 儿童葡萄球菌表现出独特的表现，与成人不同，确定了两种新类型。这些发现强调了更新分类系统的重要性，确保它们反映在儿科病理学和诊断学中观察到的现实情况。数据可应合理要求提供。