ANOMALIES OF CHOROIDAL VENOUS STRUCTURE IN HIGHLY MYOPIC EYES.

Hongshuang Lu, Ran Du, Shiqi Xie, Jianping Xiong, Changyu Chen, Muka Moriyama, Tae Igarashi-Yokoi, Hiroyuki Takahashi, Koju Kamoi, Kengo Uramoto, Noriko Nakao, Kyoko Ohno-Matsui
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引用次数: 3

Abstract

Purpose: To identify anomalies of choroidal venous structure in highly myopic (HM) eyes.

Methods: Widefield indocyanine green angiographic images of 175 HM eyes (refractive error ≤ -6.0D diopters or axial length >26.5 mm) and 100 control eyes taken between January 2014 and December 2018 were reviewed.

Results: There were no significant differences in age and gender between HM patients and controls. Three types of changes of large choroidal veins were found in 103 HM eyes (58.86%): Asymmetry of vortex veins in 44 eyes (25.14%), isolated long vein across the macula in 58 eyes (33.14%), and intervortex anastomoses in 25 eyes (14.29%). Similar changes in controls were found in 12 eyes (12%), 0 eye (0%), and 2 eyes (2%), respectively, which were significantly lower than those in the HM group (all P < 0.05). The patterns of asymmetry were affected by steeper staphyloma edges and anastomoses were observed through large trunks and terminal venules. In two eyes with large trunk anastomosis, attenuation of the less dominant vortex vein was observed afterward.

Conclusion: Choroidal venous anomalies are more common in HM eyes than controls. Choroidal venous structure in HM eyes may be altering continuously, and such changes may underlie the development of myopic maculopathy.

高度近视眼脉络膜静脉结构异常。
目的:探讨高度近视(HM)眼脉络膜静脉结构的异常。方法:回顾性分析2014年1月至2018年12月期间拍摄的175只HM眼(屈光误差≤-6.0D屈光度或轴长>26.5 mm)和100只对照眼的广角吲哚青绿血管造影图像。结果:HM患者与对照组在年龄、性别上无显著差异。103眼(58.86%)出现大脉络膜静脉改变:涡旋静脉不对称44眼(25.14%)、孤立长静脉横过黄斑58眼(33.14%)、涡旋间吻合25眼(14.29%)。对照组12只眼(12%)、0只眼(0%)、2只眼(2%)出现类似变化,均显著低于HM组(均P < 0.05)。葡萄瘤边缘较陡,影响不对称分布,通过大树干和末端小静脉可见吻合。在大干吻合的两只眼中,观察到不太占优势的旋涡静脉的衰减。结论:HM眼脉络膜静脉异常较正常眼多见。HM眼的脉络膜静脉结构可能不断改变,这种变化可能是近视黄斑病变发展的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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