PMID- 27192948 OWN - NLM STAT- MEDLINE DCOM- 20170126 LR - 20170126 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 94 IP - 8 DP - 2016 Dec TI - Choroidal thickness does not predict visual acuity in young high myopes. PG - e709-e715 LID - 10.1111/aos.13084 [doi] AB - PURPOSE: To investigate the influence of choroidal thickness (CT) on visual acuity (VA) in young persons with extremely high myopia. METHODS: We conducted a case-control study of young men with extremely high myopia and controls with emmetropia recruited from a mandatory medical eye review for employment purposes. Retinal and choroidal imaging was performed using enhanced depth imaging (EDI) spectral-domain optical coherence tomography (SD-OCT). RESULTS: We included 105 extremely high myopic subjects with spherical equivalent (SE) -10 dioptre (D) or worse and 50 emmetropic subjects with SE less than 0.5 D. The mean SE was -11.56 +/- 2.04 D (range, -10 to -23 D) for myopic group and 0.14 +/- 0.25 D for emmetropic group. The mean age of included myopic and emmetropic subjects was 21.51 +/- 1.22 years and 21.96 +/- 0.89 years, respectively. In the univariate analysis, subfoveal CT was significantly associated with best-corrected visual acuity (BCVA) (beta = -0.039, p = 0.015). However, in the multiple linear regression analysis, after adjusting for SE and presence of any pathological myopia lesions such as posterior staphyloma, lacquer cracks or chorioretinal atrophy, subfoveal CT was not independently associated with BCVA (p = 0.937). CONCLUSION: Extremely high myopic eyes had thinner choroid, but CT was not an independent predictor of VA. Other factors related to myopia are likely responsible for the diminished VA in young extremely high myopic eyes. CI - (c) 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Gupta, Preeti AU - Gupta P AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. FAU - Cheung, Carol Y AU - Cheung CY AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. FAU - Saw, Seang-Mei AU - Saw SM AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. FAU - Koh, Victor AU - Koh V AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. FAU - Tan, Mellisa AU - Tan M AD - DSO National Laboratories, Defence Medical and Environmental Research Institute, Singapore, Singapore. FAU - Yang, Adeline AU - Yang A AD - DSO National Laboratories, Defence Medical and Environmental Research Institute, Singapore, Singapore. FAU - Zhao, Paul AU - Zhao P AD - Vision Performance Centre, Military Medical Institute, Singapore Armed Forces, Singapore, Singapore. FAU - Cheung, Chui Ming Gemmy AU - Cheung CM AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. FAU - Wong, Tien Yin AU - Wong TY AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. FAU - Cheng, Ching-Yu AU - Cheng CY AD - Singapore Eye Research Institute and Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. LA - eng PT - Journal Article DEP - 20160519 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 SB - IM MH - Adolescent MH - Case-Control Studies MH - Choroid/diagnostic imaging/*pathology MH - Emmetropia MH - Humans MH - Male MH - Myopia, Degenerative/*diagnosis/physiopathology MH - Organ Size MH - Retina/diagnostic imaging/pathology MH - Tomography, Optical Coherence MH - Vision Disorders/*diagnosis/physiopathology MH - *Visual Acuity MH - Young Adult OTO - NOTNLM OT - choroidal thickness OT - enhanced depth imaging optical coherence tomography OT - high myopes OT - visual acuity EDAT- 2016/05/20 06:00 MHDA- 2017/01/27 06:00 CRDT- 2016/05/20 06:00 PHST- 2015/06/26 00:00 [received] PHST- 2016/03/07 00:00 [accepted] PHST- 2016/05/20 06:00 [pubmed] PHST- 2017/01/27 06:00 [medline] PHST- 2016/05/20 06:00 [entrez] AID - 10.1111/aos.13084 [doi] PST - ppublish SO - Acta Ophthalmol. 2016 Dec;94(8):e709-e715. doi: 10.1111/aos.13084. Epub 2016 May 19.