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Variable Clinical Profile of Fovea Plana in Normal Children

Victor M Villegas, Stephen G Schwartz, Tina D Hamet

    Ophthalmic Surgery, Lasers & Imaging Retina
    |April 18, 2018
    PubMed

    Insights

    Fovea plana, a condition affecting normal children, often presents bilaterally with good visual acuity despite abnormal spectral-domain optical coherence tomography (SD-OCT) findings. Astigmatism may also be more common than previously thought.

    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Retinal Imaging

    Background:

    • Fovea plana is a congenital condition affecting the central retina.
    • Understanding its clinical presentation in children is crucial for diagnosis and management.

    Purpose of the Study:

    • To illustrate the clinical findings associated with fovea plana in a pediatric cohort.
    • To evaluate the characteristics of fovea plana in children.

    Main Methods:

    • Retrospective chart review of pediatric subjects diagnosed with fovea plana.
    • Evaluation of best-corrected visual acuity (BCVA) and refractive error (astigmatism).
    • Spectral-domain optical coherence tomography (SD-OCT) analysis of retinal structure.

    Main Results:

    • All analyzed eyes achieved a BCVA of 20/40 or better.
    • Bilateral fovea plana was observed in 83% of subjects.
    • Absence of foveal depression on SD-OCT was noted in 82% of eyes.
    • Astigmatism (≥+1.5D) was present in 45% of eyes.

    Conclusions:

    • Fovea plana typically presents as a bilateral condition with good BCVA, despite characteristic SD-OCT abnormalities.
    • Unilateral cases of fovea plana can occur.
    • Astigmatism may be a more frequent comorbidity in fovea plana than previously recognized.
    Abstract

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