Patchy atrophy and lacquer cracks predispose to the development of choroidal neovascularisation in pathological myopia

Aims: To determine the incidence and predisposing findings for choroidal neovascularisation (CNV) in a large series of highly myopic patients. Methods: The medical records of 218 consecutive patients (325 eyes) with myopic fundus changes in the macula were reviewed. The incidence of CNV during a fol...

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Bibliographic Details
Published in:British journal of ophthalmology 2003-05, Vol.87 (5), p.570-573
Main Authors: Ohno-Matsui, K, Yoshida, T, Futagami, S, Yasuzumi, K, Shimada, N, Kojima, A, Tokoro, T, Mochizuki, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Atrophy - pathology
Biological and medical sciences
Care and treatment
Child
Choroid - pathology
choroidal neovascularisation
Choroidal Neovascularization - etiology
Choroidal Neovascularization - pathology
Diabetic retinopathy
Fluorescein Angiography - methods
Humans
Macular degeneration
Medical imaging
Medical sciences
Middle Aged
Myopia
Myopia - complications
Myopia - pathology
Ophthalmology
Retina - pathology
Scientific Correspondence
Studies
Vision disorders
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Summary:Aims: To determine the incidence and predisposing findings for choroidal neovascularisation (CNV) in a large series of highly myopic patients. Methods: The medical records of 218 consecutive patients (325 eyes) with myopic fundus changes in the macula were reviewed. The incidence of CNV during a follow up of at least 3 years of highly myopic patients and identification of predisposing findings for the development of myopic CNV were examined. Results: Among 325 highly myopic eyes examined, 33 eyes (10.2%) developed myopic CNV. The incidence was higher (34.8%) among the fellow eyes of patients with pre-existing CNV than among eyes of patients without pre-existing CNV (6.1%). CNV developed in 3.7% with diffuse chorioretinal atrophy, in 20.0% with patchy atrophy, and in 29.4% with lacquer cracks. Conclusion: Approximately one in 10 highly myopic eyes developed myopic CNV in average 130.2 months. Patchy atrophy and lacquer cracks were shown to be important predisposing findings for CNV development.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.87.5.570