Prevalence of focal lamina cribrosa defects in eyes with pachychoroid disease spectrum
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Hae Min Kang. Department of Ophthalmology, Catholic Kwandong University, International St. Mary’s Hospital, 100 Simgok-ro, Seo-gu, Inchoen 22711, Republic of Korea. liebe05@naver.com

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Supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No.2018R1C1B5085620); the Korea Health Technology R & D Project through the Korea Health Industry Development Institute (KHIDI) funded by the Ministry of Health & Welfare, Republic of Korea (No.HI21C1251).

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    Abstract:

    AIM: To determine the prevalence of focal lamina cribrosa (LC) defect among patients with pachychoroid disease spectrum (PDS) in the absence of peripapillary retinoschisis. METHODS: This retrospective, cross-sectional study comprised of 180 patients with PDS, including polypoidal choroidal vasculopathy (PCV), central serous chorioretinopathy, and pachychoroidal neovasculopathy. Medical records and optic nerve head evaluations conducted using spectral-domain optical coherence tomography with enhanced depth imaging were reviewed. As a control group, 236 patients who underwent ophthalmologic evaluation for vitreous floaters, without obvious ocular disease, were also included. RESULTS: The mean age of the PDS group, which included 118 male patients (65.6%), was 57.4±11.1y. There was no significant difference between the two groups in age (P=0.710) or sex (P=0.248). Six patients (3.3%) in the PDS group and none in the control group showed focal LC defect (P=0.318). Among the six patients with focal LC defect in the PDS group, four eyes had PCV, one eye was the fellow eye of a PCV eye, and one eye had pachychoroidal neovasculopathy. CONCLUSION: Focal LC defect can be defected in patients with PDS in the absence of peripapillary retinoschisis. However, the prevalence of focal LC defect was not different significantly between PDS patients and those who did not have PDS.

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Hae Min Kang, Na Eun Lee, Jeong Hoon Choi, et al. Prevalence of focal lamina cribrosa defects in eyes with pachychoroid disease spectrum. Int J Ophthalmol, 2022,15(1):77-82

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Publication History
  • Received:October 20,2020
  • Revised:June 21,2021
  • Adopted:
  • Online: December 24,2021
  • Published: