Prevalence of macular complications associated with high myopia by multimodal imaging
| Autor: | Pierre Ingrand, Nicolas Leveziel, M Mercié, M. Boissonnot, Olivier Lichtwitz |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Multimodal Imaging Foveoschisis Serous Retinal Detachment 03 medical and health sciences 0302 clinical medicine Retinal Diseases Ophthalmology medicine Myopia Prevalence Humans Macular hole Aged Aged 80 and over business.industry Retinal Detachment Staphyloma Retinal detachment Middle Aged medicine.disease Retinal Perforations eye diseases Choroidal Neovascularization Choroidal neovascularization Cross-Sectional Studies Myopia Degenerative 030221 ophthalmology & optometry Optometry Female sense organs Epiretinal membrane medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal francais d'ophtalmologie. 39(4) |
| ISSN: | 1773-0597 |
| Popis: | Summary Purpose To describe the prevalence of macular complications in patients with visual acuity decrease related to high myopia (HM). To establish correlations between these complications and demographic or anatomical characteristics. Materials and methods Cross-sectional observational study including HM patients undergoing best-corrected visual acuity (BCVA), fundus examination, macular SD-OCT, and fluorescein angiography in the case of suspicion of choroidal neovascularization (CNV). The presence of anatomical criteria (staphyloma, subfoveal choroidal thickness [CT]) and macular complications (CNV, lacquer cracks, central chorioretinal atrophy, dome-shaped macula with serous retinal detachment [SRD], retinal foveoschisis, macular hole and epiretinal membrane) was investigated. Results A total of 87 eyes of 47 patients were included (39 eyes without macular complication and 48 eyes with macular complications). In the case of macular complications, decrease in BCVA was related to CNV in 33%, macular hole in 25%, chorioretinal atrophy in 19%, foveoschisis in 11%, lacquer crack in 6%, to a dome-shape macula with serous retinal detachment in 4% and epiretinal membrane in 2%. After adjusting for interocular correlation and degree of myopia, staphyloma ( P = 0.0023), choroidal thinning ( P = 0.0036), and extrafoveal chorioretinal atrophy ( P = 0.042) were significantly associated with macular complications. Conclusions High myopic patients with staphyloma or choroidal thinning should undergo regular comprehensive retinal screening for retinal complications. |
| Databáze: | OpenAIRE |
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