title: Retinal pigment epithelium atrophy secondary to dilated choroidal artery in the macula of a highly myopic patient.
abstract: BACKGROUND
  Indocyanine green angiography revealed a markedly bent and tortuous choroidal artery in the macula of the left fundus in a highly myopic patient.
  
  
  METHODS
  The patient's corrected visual acuity was 1.0 in both eyes, and he had no visual symptoms.
  
  
  METHODS
  Ten years after the initial examination, atrophy of the retinal pigment epithelium (RPE) developed above the dilated choroidal artery.
  
  
  CONCLUSIONS
  Optical coherence tomography demonstrated that the RPE was stretched above the markedly dilated choroidal artery. Thus, mechanical stretching of the RPE by an abnormally dilated choroidal artery might underlie the development of RPE atrophy.
authors.affiliation: Department of Ophthalmology, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Kengo
authors.initials: K
authors.lastname: Hayashi
authors.forename: Kyoko
authors.initials: K
authors.lastname: Ohno-Matsui
authors.forename: Ariko
authors.initials: A
authors.lastname: Kojima
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yoshida
authors.forename: Soh
authors.initials: S
authors.lastname: Futagami
authors.forename: Takashi
authors.initials: T
authors.lastname: Tokoro
authors.forename: Manabu
authors.initials: M
authors.lastname: Mochizuki
mesh_terms: D001158:Arteries / Q000473:pathology*; D001284:Atrophy; D002829:Choroid / Q000098:blood supply*; D004396:Coloring Agents; D004108:Dilatation, Pathologic; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012164:Retinal Diseases / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green