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Choroidal thickness at age 66 years in the Danish high myopia study cohort 1948 compared with follow-up data on visual acuity over 40 years: a clinical update adding spectral domain optical coherence tomography.

Abstract A population-based Copenhagen birth year 1948 cohort with high myopia recorded since age 14 years (spherical equivalent less than or equivalent to -6 D) has been followed over 50 years. Despite complications, current follow-ups have outlined a better visual prognosis than usually drawn from selected clinical series in the literature. For the present status at age 66 years, focus was on visual ability and choroidal thickness.
PMID
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Authors

Mayor MeshTerms

Forecasting

Visual Acuity

Keywords

best-corrected visual acuity

choroidal thickness

enhanced depth optical coherence tomography

high myopia

longitudinal follow-up

population-based ophthalmic data

Journal Title acta ophthalmologica
Publication Year Start




PMID- 29356366
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1755-3768 (Electronic)
IS  - 1755-375X (Linking)
VI  - 96
IP  - 1
DP  - 2018 Feb
TI  - Choroidal thickness at age 66 years in the Danish high myopia study cohort 1948
      compared with follow-up data on visual acuity over 40 years: a clinical update
      adding spectral domain optical coherence tomography.
PG  - 46-50
LID - 10.1111/aos.13659 [doi]
AB  - BACKGROUND AND PURPOSE: A population-based Copenhagen birth year 1948 cohort with
      high myopia recorded since age 14 years (spherical equivalent less than or
      equivalent to -6 D) has been followed over 50 years. Despite complications,
      current follow-ups have outlined a better visual prognosis than usually drawn
      from selected clinical series in the literature. For the present status at age 66
      years, focus was on visual ability and choroidal thickness. METHODS: Twenty-eight
      of the original 39 participants were available in 2014. Medical history was
      updated. Best-corrected visual acuity (BCVA) data were compared with subfoveal
      choroidal thickness (SFCT), now measured by enhanced depth optical coherence
      tomography. RESULTS: Due to at least better eye visual acuity (VA), all patients 
      had maintained their everyday visual capacity. Only one participant was marginal 
      regarding visual status for a driver's licence; low vision was not on record.
      Based on all eyes, choroidal thickness correlated negatively with axial length
      (AL), which also held for the fraction with high myopia (AL >26.5 mm). In high
      myopia, the mean choroidal subfoveal thickness was 114 +/- 75 mum versus 182 +/- 
      94 mum in lower myopia (p = 0.01). CONCLUSION: Despite the generally maintained
      individual visual capacity in the series, significant correlation could be
      demonstrated between SFCT and (i) axial elongation and (ii) recorded VA, with a
      negative and a positive sign, respectively. Overall, the visual prognosis was
      relatively benign, in particular when compared with the selected high myopia
      hospital series that predominate in the ophthalmic literature.
CI  - (c) 2018 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & 
      Sons Ltd.
FAU - Fledelius, Hans C
AU  - Fledelius HC
AUID- ORCID: http://orcid.org/0000-0001-9801-589X
AD  - Copenhagen University Eye Clinics, Rigshospitalet and Glostrup, Capital Region,
      Denmark.
FAU - Jacobsen, Nina
AU  - Jacobsen N
AD  - Copenhagen University Eye Clinics, Rigshospitalet and Glostrup, Capital Region,
      Denmark.
FAU - Li, Xiao Q
AU  - Li XQ
AD  - Copenhagen University Eye Clinics, Rigshospitalet and Glostrup, Capital Region,
      Denmark.
FAU - Goldschmidt, Ernst
AU  - Goldschmidt E
AD  - Danish Myopia Institute, Espergaerde, Denmark.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Acta Ophthalmol
JT  - Acta ophthalmologica
JID - 101468102
SB  - IM
MH  - Adult
MH  - Aged
MH  - Choroid/*pathology
MH  - Denmark/epidemiology
MH  - Female
MH  - Follow-Up Studies
MH  - *Forecasting
MH  - Fovea Centralis/pathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Morbidity/trends
MH  - Myopia, Degenerative/*diagnosis/epidemiology/physiopathology
MH  - Refraction, Ocular
MH  - Retrospective Studies
MH  - Tomography, Optical Coherence/*methods
MH  - *Visual Acuity
OTO - NOTNLM
OT  - best-corrected visual acuity
OT  - choroidal thickness
OT  - enhanced depth optical coherence tomography
OT  - high myopia
OT  - longitudinal follow-up
OT  - population-based ophthalmic data
EDAT- 2018/01/23 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/01/23 06:00
PHST- 2015/12/05 00:00 [received]
PHST- 2017/11/05 00:00 [accepted]
PHST- 2018/01/23 06:00 [entrez]
PHST- 2018/01/23 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1111/aos.13659 [doi]
PST - ppublish
SO  - Acta Ophthalmol. 2018 Feb;96(1):46-50. doi: 10.1111/aos.13659.