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Atsushi Nonaka, Masanori Hangai, Tadamichi Akagi, Satoshi Mori, Masayuki Nukada, Noriko Nakano, Nagahisa Yoshimura; Biometric Features of Peripapillary Atrophy Beta in Eyes with High Myopia. Invest. Ophthalmol. Vis. Sci. 2011;52(9):6706-6713. doi: 10.1167/iovs.11-7580.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate peripapillary atrophy β (PPA-β) characteristics in highly myopic eyes, using simultaneous confocal scanning laser ophthalmoscopy (cSLO) and enhanced spectral-domain optical coherence tomography (SD-OCT).
The authors retrospectively analyzed 61 highly myopic (≥ −6.0 D) eyes without myopic retinopathy. cSLO fundus images were used to measure the distances from the foveal center to the temporal and nasal margins of the PPA-β zone; horizontal cross-sectional SD-OCT images, to determine the position where the inner plexiform layer (IPL) terminates within the PPA-β zone; and A-mode ultrasonography, to measure axial length.
The distance from the foveal center to the PPA-β zone temporal margin (2.68–4.39 mm) correlated with the circumferential extent of PPA-β (P <0.001, r = −0.49). The distance from the foveal center to the nasal margin (3.41–5.60 mm) correlated with the ovality index of the optic disc (P <0.001, r = −0.51) and with the axial length (P <0.05, r = 0.26). PPA-β zone width (0.20–2.05 mm) correlated with the circumferential extent of PPA-β (P <0.001, r = 0.42), ovality index of the optic disc (P <0.001, r = −0.68), and axial length (P <0.05, r = 0.32). The IPL termination within the PPA-β zone was significantly closer to the optic disc when the circumferential extent of PPA-β was large (P <0.01, r = 0.36).
Interindividual variations in biometric features of PPA-β in highly myopic eyes showed different associations with axial length, degree of disc ovality, and circumferential extent of PPA-β.
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