Microvasculature and microstructure alteration in dry‐type high myopia

Abstract

BackgroundTo investigate the alterations in the retinal vasculature and microstructure in dry‐type high myopia.MethodsOne hundred and eighty‐nine dry‐type high myopia eyes were classified into three groups. Group 1 consisted of 86 eyes with no myopic retinal degenerative lesion (C0). Group 2 consisted of 71 eyes with tessellated fundus (C1). Group 3 consisted of 32 eyes with diffuse chorioretinal atrophy (C2). Retinal vascular density and retinal thickness were measured with optical coherence tomography angiography. The scanning area was a 3 × 3 mm2 ring with the fovea of the macular. All data were analyzed with the SPSS 23.0 by one‐way ANOVA test among comparison groups. Pearson's correlation analysis was used to determine the relations among measurements. Univariate linear regression showed a correlation between the vascular densities and retinal thicknesses.ResultsThe microvessel density significantly decreased and significant thinning of the superior and temporal macular thickness in the C2 group. The vascular densities of macular decreased significantly with the increase of axial length (AL) and refractive diopter in the C2 group. The retinal thicknesses of the macular fovea increased significantly with the increase of vascular densities in the C0 group and C1 group.ConclusionsThe impairment of retinal microstructure is more likely related to reduced oxygen and nutrients due to microvessel density decreases.

Correlation in retinal thickness and macular retina plus choroidal microcirculation in pediatric myopia

“…[ 17 ] While changes in deep retinal blood flow density in myopic patients remain a topic of debate, emerging evidence suggests that the density of superficial retinal capillaries is notably diminished in myopia, particularly in individuals with high myopia. [ 18 , 19 ]…”