PMID- 25266830 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20221207 IS - 1528-3933 (Electronic) IS - 1091-8531 (Linking) VI - 18 IP - 5 DP - 2014 Oct TI - Incidence of fovea plana in normal children. PG - 471-5 LID - S1091-8531(14)00421-2 [pii] LID - 10.1016/j.jaapos.2014.07.157 [doi] AB - PURPOSE: To characterize the prevalence and features of subclinical foveal hypoplasia detected by optical coherence tomography (OCT) in children. METHODS: Fast macular OCT scans were performed on normal children with normal vision for the development of a normative OCT-3 database; from this data, eyes with no discernable foveal depression were identified. When possible, the ocular imaging was repeated 3 years later using both OCT-3 and spectral domain OCT (SD-OCT). SD-OCT results were compared to age-matched controls. RESULTS: Of the 286 normal children (mean age, 8.6 +/- 3.1 years) scanned, 9 (mean age, 8 +/- 2.9 years; 6 males) were found to have bilateral shallow foveal depression on OCT-3 imaging, including 8 of 154 white children (5.4%) and 1 child of mixed ethnicity (white/black). Children with shallow foveas (n = 9) had larger average foveal thickness (FT) compared to the cohort of controls (n = 277) with a defined fovea (FT = 231.4 +/- 8.8 vs 188.8 +/- 25.0, resp. [P < 0.0001]). Mean macular volume did not differ from that of controls. SD-OCT performed 3 years later on 5 of the 9 children with shallow foveal depression showed persistence of the inner macular layers over the foveal center, corresponding to grades 1 or 2 of foveal hypoplasia. The FT was increased compared to 5 age-matched controls with a defined fovea (FT = 294.5 +/- 5.1 vs 219.75 +/- 5.68 mum, resp. [P = 0.029]). CONCLUSIONS: Up to 3% of children with clinically normal eyes had an anatomically underdeveloped foveal pit bilaterally on OCT. CI - Copyright (c) 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved. FAU - Noval, Susana AU - Noval S AD - Duke Eye Center, Durham, North Carolina; Department of Ophthalmology, La Paz University Hospital, IdiPaz, Madrid. FAU - Freedman, Sharon F AU - Freedman SF AD - Duke Eye Center, Durham, North Carolina. FAU - Asrani, Sanjay AU - Asrani S AD - Duke Eye Center, Durham, North Carolina. FAU - El-Dairi, Mays A AU - El-Dairi MA AD - Duke Eye Center, Durham, North Carolina. Electronic address: mays.el-dairi@dm.duke.edu. LA - eng PT - Journal Article DEP - 20140927 PL - United States TA - J AAPOS JT - Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus JID - 9710011 RN - Foveal Hypoplasia, Isolated SB - IM MH - Black or African American MH - Child MH - Child, Preschool MH - Eye Diseases, Hereditary/*diagnosis/*epidemiology/ethnology/physiopathology MH - Female MH - Follow-Up Studies MH - Fovea Centralis/*abnormalities/physiopathology MH - Humans MH - Incidence MH - Male MH - North Carolina/epidemiology MH - Nystagmus, Congenital/*diagnosis/*epidemiology/ethnology/physiopathology MH - Prevalence MH - Tomography, Optical Coherence/methods MH - Visual Acuity/physiology MH - White People EDAT- 2014/10/01 06:00 MHDA- 2015/06/26 06:00 CRDT- 2014/10/01 06:00 PHST- 2013/08/03 00:00 [received] PHST- 2014/06/30 00:00 [revised] PHST- 2014/07/14 00:00 [accepted] PHST- 2014/10/01 06:00 [entrez] PHST- 2014/10/01 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] AID - S1091-8531(14)00421-2 [pii] AID - 10.1016/j.jaapos.2014.07.157 [doi] PST - ppublish SO - J AAPOS. 2014 Oct;18(5):471-5. doi: 10.1016/j.jaapos.2014.07.157. Epub 2014 Sep 27.