[Fundus changes evaluation in degenerative myopia].
OBJECTIVE
To evaluate the presence of fundus changes in degenerative myopia.


METHODS
Forty patients with refractive error of at least -6.00 diopters were selected for ophthalmologic examination followed by posterior pole photograph and echobiometry.


RESULTS
We studied 57 eyes of 37 patients with refractive error ranging from -6.25 to -28.50 diopters, with mean -14.05, and axial length ranging from 26.06 to 32.86 mm, with mean 28.01. We found a temporal crescent in 36.5% and a peripapillary one in 20% of the eyes. Choroidal vessels were seen in 35% of the eyes. Posterior pole changes were as follow: posterior staphyloma in 10.5%, Fuchs' spots in 3.5% and lacquer cracks in 1.5%. Peripheral retinal examination revealed paving stone chorioretinal atrophy in 17.5%, white without pressure in 10.5%, lattice degeneration in 5%, retinal tears in 3.5% and retinoschisis in 1.5% of the examined eyes.


CONCLUSIONS
Fundus changes that lead to decreased vision are common in patients with degenerative myopia. Peripheral retinal examination is very important in these patients due to the increased risk of retinal detachment.
Brasil
Oswaldo Ferreira Moura
OF
Departamento de Oftalmologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro (RJ), Brazil. dico@unisys.com.br
Brasil
Maria Vitoria Oliveira Moura
MV
Japiassú
Ricardo Miguel
RM
Biancardi
Ana Luiza
AL
Souza
Débora Duarte de
DD
Oliveira
Renato Corrêa de Souza
RC
Moraes
Haroldo Vieira de
HV
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications / Q000473:pathology*; D011859:Radiography; D012160:Retina / Q000000981:diagnostic imaging; D012162:Retinal Degeneration / Q000209:etiology; D012163:Retinal Detachment / Q000209:etiology