Evaluation of in vivo human retinal morphology and function in myopes.

Abstract:

PURPOSE:To compare the retinal sensitivity, using Microperimeter and the morphological changes in retinal layers, using Spectral Domain Optical Coherence Tomography (SD-OCT), between myopes and age-matched emmetropes. METHODS:Twenty-nine myopic eyes and 29 emmetropic eyes were enrolled in this prospective case control study. All subjects underwent subjective refraction as part of the ophthalmic examination and in addition, SDOCT and Microperimetry were performed. Based on the reflectivity on the OCT cross sections, the thickness of the retinal layers was measured 2.5 mm on either side of the fovea. RESULTS:The mean retinal sensitivity was significantly (p = 0.001) reduced in myopes (17.31 ± 1.80 dB; mean ± SD) compared to that of emmetropes (18.61 ± 1.08 dB). SD-OCT did not show any significant difference in the photoreceptor layer and foveal thickness between myopes and emmetropes. The retinal pigment epithelium thickness was significantly reduced in myopes (35.03 ± 4.21 µm) compared to emmetropes (37.74 ± 4.30 µm) (p = 0.019). We found a significant positive correlation between refractive error and mean retinal sensitivity (r = 0.725, p = <0.001). CONCLUSION:The retinal sensitivity was significantly reduced in myopes in spite of normal retinal morphology indicating that functional changes may precede structural changes.

journal_name

Curr Eye Res

journal_title

Current eye research

authors

Gella L,Raman R,Sharma T

doi

10.3109/02713683.2011.599105

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

943-6

issue

10

eissn

0271-3683

issn

1460-2202

journal_volume

36

pub_type

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