1. Long-term natural history of highly myopic eyes with a dome-shaped macula with or without untreated serous retinal detachment: a 4-year follow-up study
- Author
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Claudia Mainetti, Elena Garoli, Francesco Viola, Alessandro Invernizzi, Gaia Leone, and Davide Galli
- Subjects
medicine.medical_specialty ,Visual acuity ,genetic structures ,Visual Acuity ,Serous Retinal Detachment ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Ophthalmology ,Myopia ,medicine ,Humans ,Macula Lutea ,Prospective Studies ,030212 general & internal medicine ,Fluorescein Angiography ,Retrospective Studies ,business.industry ,Retinal Detachment ,Follow up studies ,Mean age ,Axial length ,Middle Aged ,eye diseases ,Sensory Systems ,Natural history ,030221 ophthalmology & optometry ,sense organs ,medicine.symptom ,business ,Tomography, Optical Coherence ,Follow-Up Studies - Abstract
PurposeTo evaluate the long-term functional and morphological changes occurring in myopic eyes with a dome-shaped macula (DSM), with or without untreated serous retinal detachment (SRD).MethodsThis prospective, single-centre study enrolled consecutive cases of highly myopic patients with DSM with or without a SRD. Patients underwent complete ophthalmological examinations, optical coherence tomography, axial length measurements and autofluorescence. Follow-up visits were performed with a maximum interval of 6 months for 4 years. Eyes with choroidal neovascularisation were excluded.ResultsTwenty-six eyes from 18 patients (mean age 61.2) were included. At baseline, 13 eyes had SRD and 13 did not. The DSMs were either horizontal (69%) or round (31%). There were no significant differences in best-corrected visual acuity (BCVA) between eyes with and without SRD during the 48-month follow-up period. Multivariate analysis showed that baseline BCVA was the only parameter among those analysed (age and SRD height) to have a significant effect on the final BCVA (pConclusionsBCVA remained clinically stable over 4 years without treatment despite the fluctuations and persistence of the SRDs.
- Published
- 2020
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