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Lacquer cracks in pathological myopia: a clinical review
Kumari Neelam1,2, Sean M S Ng3, Esther L Ho4
1Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital, SG, Singapore.
Eye (London, England)
|August 8, 2024
Summary
Lacquer cracks are breaks in the Bruch’s membrane seen in pathological myopia. Early detection and monitoring of these lesions are crucial to prevent vision loss from myopic macular degeneration.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Lacquer cracks are unique fundus lesions associated with pathological myopia.
- These lesions are breaks in Bruch's membrane.
- While often innocuous, they can progress to vision-threatening complications.
Purpose of the Study:
- To provide a comprehensive clinical review of lacquer cracks in pathological myopia.
- To emphasize the importance of recognizing these lesions.
- To highlight the need for early detection and monitoring.
Main Methods:
- This article presents a clinical perspective.
- It is a comprehensive review of existing literature and clinical observations.
- No new experimental data was generated.
Main Results:
- Lacquer cracks are common in pathological myopia, especially in Asian populations.
- Progression can lead to myopic macular degeneration, including atrophy and neovascularization.
- These complications can cause irreversible visual impairment.
Conclusions:
- Ophthalmologists must be aware of lacquer cracks in myopic patients.
- Active screening for lacquer cracks is essential.
- Early detection and monitoring can prevent severe visual loss.
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