Article Text

Download PDFPDF

Patchy atrophy and lacquer cracks predispose to the development of choroidal neovascularisation in pathological myopia
  1. K Ohno-Matsui,
  2. T Yoshida,
  3. S Futagami,
  4. K Yasuzumi,
  5. N Shimada,
  6. A Kojima,
  7. T Tokoro,
  8. M Mochizuki
  1. Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan
  1. Correspondence to: Kyoko Ohno-Matsui, MD, Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113, Japan; k.ohno.oph{at}


Aims: To determine the incidence and predisposing findings for choroidal neovascularisation (CNV) in a large series of highly myopic patients.

Methods: The medical records of 218 consecutive patients (325 eyes) with myopic fundus changes in the macula were reviewed. The incidence of CNV during a follow up of at least 3 years of highly myopic patients and identification of predisposing findings for the development of myopic CNV were examined.

Results: Among 325 highly myopic eyes examined, 33 eyes (10.2%) developed myopic CNV. The incidence was higher (34.8%) among the fellow eyes of patients with pre-existing CNV than among eyes of patients without pre-existing CNV (6.1%). CNV developed in 3.7% with diffuse chorioretinal atrophy, in 20.0% with patchy atrophy, and in 29.4% with lacquer cracks.

Conclusion: Approximately one in 10 highly myopic eyes developed myopic CNV in average 130.2 months. Patchy atrophy and lacquer cracks were shown to be important predisposing findings for CNV development.

  • choroidal neovascularisation
  • myopia

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


Linked Articles

  • BJO at a glance
    Creig Hoyt