GUNN DOTS IN CHILDREN AGED 11-12 YEARS FROM THE GENERAL COMMUNITY SAMPLE COPENHAGEN CHILD COHORT 2000 STUDY
Lars Christian Boberg-Ans1,2, Inger Christine Munch3, Else Marie Olsen3,4
1Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Insights
Gunn dots are common in healthy children, with higher numbers linked to older age and thicker retinal nerve fiber layers. Their clinical significance remains unclear but may offer insights into retinal aging and diseases.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Pediatric Eye Health
Background:
- Gunn dots are small, hyperfluorescent spots observed in the retina.
- Their presence and characteristics in healthy children are not well-documented.
- Understanding these dots may provide insights into retinal development and health.
Purpose of the Study:
- To investigate the prevalence and characteristics of Gunn dots in healthy 11- to 12-year-old children.
- To explore associations between Gunn dots and factors like age, sex, axial length, and retinal nerve fiber layer thickness.
Main Methods:
- Utilized red-free fundus photographs from 761 healthy children in the Copenhagen Child Cohort 2000 Study.
- Gunn dots were identified and quantified within a 6 mm diameter disk-centered grid.
- Statistical analysis correlated dot counts with demographic and ocular parameters.
Main Results:
- Gunn dots were detected in 94% of participants.
- Higher numbers of Gunn dots were associated with older age (OR 2.12) and thicker retinal nerve fiber layers (OR 0.40).
- The majority of dots were located near the optic disc.
Conclusions:
- Gunn dots are prevalent in healthy school-aged children.
- Increased Gunn dot counts correlate with older age and thicker retinal nerve fiber layers.
- Further research is needed to determine the clinical significance of Gunn dots, particularly concerning aging and retinal pathologies.
Purpose:
To study characteristics and associations of Gunn dots in a cohort of healthy children aged 11 to 12 years.
Methods:
As part of the Copenhagen Child Cohort 2000 Study, red-free fundus photographs were taken on 761 healthy children aged 11 to 12 years. The photographs were centered on the optic disk. Gunn dots were annotated and counted within a disk-centered circular grid of 6 mm diameter. Data were analyzed in relation to age, sex, axial length, and retinal nerve fiber layer thickness.
Results:
Gunn dots were found in 716 of the 761 participants (94%). The majority of dots were located both inferior and superior to the optic disk, situated within a distance of 3 mm from its center. The median number of Gunn dots was 64 (range 0-574) in right eyes and 68 (range 0-532) in left eyes. Having more than the median number of Gunn dots in the right eye was associated with older age (odds ratio 2.12, 95% CI 1.56 to 2.89, P < 0.0001, adjusted for sex, axial length, and retinal nerve fiber layer thickness) and was less common among the children with a thinner retinal nerve fiber layer (odds ratio 0.40, 95% CI 0.26-0.60, P < 0.0001 comparing bottom and top quartiles).
Conclusion:
Gunn dots were visible in the majority of healthy children aged 11 to 12 years, and large numbers of dots were associated with a thicker nerve fiber layer and with older age, within the limited age range of 1 year. The clinical significance of Gunn dots is unknown. Their location at the vitreoretinal interface makes them a parameter of interest in the study of aging, epiretinal fibrosis, macular pucker and retinal detachment.
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