July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Detection of Early Changes of Posterior Staphylomas in Children and Young Adults by Ultra wide-field OCT
Author Affiliations & Notes
  • Noriko Tanaka
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
    Tokyo Metropolitan Hiroo Hospital, Japan
  • Kosei Shinohara
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
    Musashino Red Cross Hospital, Japan
  • Tae Yokoi
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Kengo Uramoto
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Hiroyuki Takahashi
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Yuka Onishi
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Shintaro Horie
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Takeshi Yoshida
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Kyoko Ohno-Matsui
    Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  • Footnotes
    Commercial Relationships   Noriko Tanaka, None; Kosei Shinohara, None; Tae Yokoi, None; Kengo Uramoto, None; Hiroyuki Takahashi, None; Yuka Onishi, None; Shintaro Horie, None; Takeshi Yoshida, None; Kyoko Ohno-Matsui, None
  • Footnotes
    Support  The Japanese Society for Promotion of Science 15H04993 15K15629
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 4353. doi:
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    • Get Citation

      Noriko Tanaka, Kosei Shinohara, Tae Yokoi, Kengo Uramoto, Hiroyuki Takahashi, Yuka Onishi, Shintaro Horie, Takeshi Yoshida, Kyoko Ohno-Matsui; Detection of Early Changes of Posterior Staphylomas in Children and Young Adults by Ultra wide-field OCT. Invest. Ophthalmol. Vis. Sci. 2019;60(9):4353.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To detect early signs of staphylomas in children and young adults by ultra wide-field OCT.

Methods : A total of 42 highly myopic eyes (22 patients aged < 20 years; group I) and 137 highly myopic eyes (73 patients aged 20-49 years; group II) were examined by ultra wide-field OCT.

Results : The mean axial length was 28.1mm in group I and 30.1mm in group II. Wide-field OCT detected staphyloma edges, characterized by an inward protrusion of the sclera with a gradual thinning of the choroid towards the staphyloma edge, in 4 of the 42 eyes (9.5%) in group I and in 60 of the 137 eyes (43.8%) in group II. Nine additional eyes (21.4%) in group I and 27 eyes (19.7%) in group II showed a gradual choroidal thinning from the periphery towards the predilection sites of staphyloma edges without scleral protrusions.

Conclusions : Gradual thinning of the choroid may be an early sign of staphyloma. Staphylomas, detected even in children, occur at a younger age than previously thought.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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