PMID- 35616928 OWN - NLM STAT- MEDLINE DCOM- 20220530 LR - 20220716 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 63 IP - 5 DP - 2022 May 2 TI - Choroidal Thickening During Young Adulthood and Baseline Choroidal Thickness Predicts Refractive Error Change. PG - 34 LID - 10.1167/iovs.63.5.34 [doi] LID - 34 AB - PURPOSE: The purpose of this study was to explore the age-related change in choroidal thickness (ChT) and test the hypothesis that baseline ChT is predictive of refractive error change in healthy young adults. METHODS: Participants underwent spectral-domain optical coherence tomography (SD-OCT) imaging and autorefraction at 20 (baseline) and 28 years old. The enhanced depth imaging mode on the SD-OCT was used to obtain images of the choroid. Scans were exported from the SD-OCT and analyzed with a custom software that automatically measures the central ChT. The longitudinal change in subfoveal ChT and association between baseline subfoveal ChT and 8-year change in refractive error (spherical equivalent) were determined using linear mixed models. RESULTS: In total, 395 eyes of 198 participants (44% men; 18-22 years at baseline) were included. Over 8 years, mean spherical equivalent decreased by 0.25 diopters (D) and axial length increased by 0.09 mm. Subfoveal choroid thickened by 1.3 microm/year (95% confidence interval [CI] = 0.6-2.0), but this was reduced by 0.9 microm/year (95% CI = 1.6-0.2) for every 1 mm increase in axial length. For every 10 microm increase in baseline ChT, average annual change in spherical equivalent and axial length reduced by 0.006 D/year and 0.003 mm/year, respectively. CONCLUSIONS: In a community-based cohort of young adults, the choroid continued to change during early adulthood. Choroidal thickening was less in eyes that were longer at baseline, and the choroid thinned in eyes that showed myopia progression. The association between baseline ChT and longitudinal changes in spherical equivalent and axial length supports the hypothesis that ChT may be predictive of refractive error development and/or myopia progression. FAU - Lee, Samantha Sze-Yee AU - Lee SS AD - The University of Western Australia, Centre for Ophthalmology and Visual Science (incorporating the Lions Eye Institute), Perth, Western Australia, Australia. FAU - Alonso-Caneiro, David AU - Alonso-Caneiro D AD - Contact Lens and Visual Optic Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia. FAU - Lingham, Gareth AU - Lingham G AD - The University of Western Australia, Centre for Ophthalmology and Visual Science (incorporating the Lions Eye Institute), Perth, Western Australia, Australia. AD - Centre for Eye Research Ireland, School of Physics, Clinical and Optometric Sciences, Technological University Dublin, Ireland, Dublin, Ireland. FAU - Chen, Fred K AU - Chen FK AD - The University of Western Australia, Centre for Ophthalmology and Visual Science (incorporating the Lions Eye Institute), Perth, Western Australia, Australia. AD - Department of Ophthalmology, Royal Perth Hospital, Perth, Western Australia, Australia. FAU - Sanfilippo, Paul G AU - Sanfilippo PG AD - Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia. FAU - Yazar, Seyhan AU - Yazar S AD - Garvan-Weizmann Centre for Cellular Genomics, Garvan Institute of Medical Research, Sydney, New South Wales, Australia. FAU - Mackey, David A AU - Mackey DA AD - The University of Western Australia, Centre for Ophthalmology and Visual Science (incorporating the Lions Eye Institute), Perth, Western Australia, Australia. AD - Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia. AD - School of Medicine, Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Adult MH - Axial Length, Eye MH - Choroid/anatomy & histology MH - Female MH - Humans MH - Male MH - *Myopia/diagnosis MH - Refraction, Ocular MH - *Refractive Errors MH - Tomography, Optical Coherence/methods MH - Young Adult PMC - PMC9150825 COIS- Disclosure: S.S.-Y. Lee, None; D. Alonso-Caneiro, None; G. Lingham, None; F.K. Chen, None; P.G. Sanfilippo, None; S. Yazar, None; D.A. Mackey, None EDAT- 2022/05/27 06:00 MHDA- 2022/05/31 06:00 PMCR- 2022/05/26 CRDT- 2022/05/26 11:34 PHST- 2022/05/26 11:34 [entrez] PHST- 2022/05/27 06:00 [pubmed] PHST- 2022/05/31 06:00 [medline] PHST- 2022/05/26 00:00 [pmc-release] AID - 2778862 [pii] AID - IOVS-22-34511 [pii] AID - 10.1167/iovs.63.5.34 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2022 May 2;63(5):34. doi: 10.1167/iovs.63.5.34.