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Peripheral retinal findings in highly myopic children < or =10 years of age

Alok S Bansal1, G Baker Hubbard

  • 1Division of Vitreoretinal Surgery, The Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia, USA.

Retina (Philadelphia, Pa.)
|March 13, 2010
PubMed

Insights

Peripheral retinal findings are common in highly myopic children. Approximately one-third of eyes showed abnormalities, including lattice degeneration, necessitating thorough examination for retinal detachment risk.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology

Background:

  • High myopia in children presents unique challenges for retinal evaluation.
  • Assessing peripheral retinal findings is crucial for predicting retinal detachment risk.

Observation:

  • A retrospective review analyzed 54 eyes of 30 children (age ≤10 years) with high myopia (>6.00 diopters).
  • Examinations under anesthesia were required for 26 eyes due to visualization difficulties.
  • Mean spherical equivalent refractive error was -13.88 diopters.

Findings:

  • Peripheral retinal abnormalities were detected in 33% of highly myopic eyes.
  • Common findings included lattice degeneration (20%), white without pressure (11%), and retinal holes with subretinal fluid (4%).

Implications:

  • These findings highlight the increased prevalence of peripheral retinal changes in pediatric high myopia.
  • Thorough peripheral retinal examination, potentially including examination under anesthesia, is recommended for these children to detect retinal detachment precursors.
Abstract

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