Four-Year Progression of Myopic Maculopathy in Children and Adolescents With High Myopia
Individuals with high myopia younger than 18 years are at relatively high risk of progressively worsening myopic maculopathy. Additional studies are needed to investigate the progression of myopic maculopathy in this age group, as well as the risk factors associated with progression. To investigate...
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| Veröffentlicht in: | Archives of ophthalmology (1960) 2024-03, Vol.142 (3), p.180-186 |
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| container_title | Archives of ophthalmology (1960) |
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| creator | Jiang, Feng Wang, Decai Xiao, Ou Guo, Xinxing Yin, Qiuxia Luo, Lixia He, Mingguang Li, Zhixi |
| description | Individuals with high myopia younger than 18 years are at relatively high risk of progressively worsening myopic maculopathy. Additional studies are needed to investigate the progression of myopic maculopathy in this age group, as well as the risk factors associated with progression.
To investigate the 4-year progression of myopic maculopathy in children and adolescents with high myopia, and to explore potential risk factors.
This hospital-based observational study with 4-year follow-up included a total of 548 high myopic eyes (spherical power -6.00 or less diopters) of 274 participants aged 7 to 17 years. Participants underwent comprehensive ophthalmic examination at baseline and 4-year follow-up. Myopic maculopathy was accessed by the International Photographic Classification and Grading System. The data analysis was performed from August 1 to 15, 2023.
The progression of myopic maculopathy progression over 4 years and associated risk factors.
The 4-year progression of myopic maculopathy was found in 67 of 548 eyes (12.2%) of 274 participants (138 girls [50.4%] at baseline and 4-year follow-up) with 88 lesion changes, including new signs of the tessellated fundus in 16 eyes (18.2%), diffuse atrophy in 12 eyes (13.6%), patchy atrophy in 2 eyes (2.3%), lacquer cracks in 9 eyes (10.2%), and enlargement of diffuse atrophy in 49 eyes (55.7%). By multivariable analysis, worse best-corrected visual acuity (odds ratio [OR], 6.68; 95% CI, 1.15-38.99; P = .04), longer axial length (AL) (OR, 1.73; 95% CI, 1.34-2.24; P |
| doi_str_mv | 10.1001/jamaophthalmol.2023.6319 |
| format | Article |
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To investigate the 4-year progression of myopic maculopathy in children and adolescents with high myopia, and to explore potential risk factors.
This hospital-based observational study with 4-year follow-up included a total of 548 high myopic eyes (spherical power -6.00 or less diopters) of 274 participants aged 7 to 17 years. Participants underwent comprehensive ophthalmic examination at baseline and 4-year follow-up. Myopic maculopathy was accessed by the International Photographic Classification and Grading System. The data analysis was performed from August 1 to 15, 2023.
The progression of myopic maculopathy progression over 4 years and associated risk factors.
The 4-year progression of myopic maculopathy was found in 67 of 548 eyes (12.2%) of 274 participants (138 girls [50.4%] at baseline and 4-year follow-up) with 88 lesion changes, including new signs of the tessellated fundus in 16 eyes (18.2%), diffuse atrophy in 12 eyes (13.6%), patchy atrophy in 2 eyes (2.3%), lacquer cracks in 9 eyes (10.2%), and enlargement of diffuse atrophy in 49 eyes (55.7%). By multivariable analysis, worse best-corrected visual acuity (odds ratio [OR], 6.68; 95% CI, 1.15-38.99; P = .04), longer axial length (AL) (OR, 1.73; 95% CI, 1.34-2.24; P < .001), faster AL elongation (OR, 302.83; 95% CI, 28.61-3205.64; P < .001), and more severe myopic maculopathy (diffuse atrophy; OR, 4.52; 95% CI, 1.98-10.30; P < .001 and patchy atrophy; OR, 3.82; 95% CI, 1.66-8.80; P = .002) were associated with myopic maculopathy progression.
In this observational study, the progression of myopic maculopathy was observed in approximately 12% of pediatric high myopes for 4 years. The major type of progression was the enlargement of diffuse atrophy. Risk factors for myopic maculopathy progression were worse best-corrected visual acuity, longer AL, faster AL elongation, and more severe myopic maculopathy. These findings support consideration of follow-up in these individuals and trying to identify those at higher risk for progression.</description><identifier>ISSN: 2168-6165</identifier><identifier>EISSN: 2168-6173</identifier><identifier>DOI: 10.1001/jamaophthalmol.2023.6319</identifier><identifier>PMID: 38270935</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Acuity ; Adolescent ; Adolescents ; Atrophy ; Atrophy - complications ; Child ; Elongation ; Enlargement ; Eye ; Female ; Humans ; Macular Degeneration - complications ; Myopia ; Myopia, Degenerative - complications ; Myopia, Degenerative - diagnosis ; Observational studies ; Pediatrics ; Retinal Diseases - diagnosis ; Risk factors ; Visual Acuity</subject><ispartof>Archives of ophthalmology (1960), 2024-03, Vol.142 (3), p.180-186</ispartof><rights>Copyright American Medical Association Mar 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-8cf6f9ceae8a835e8be28f4203ca3f7a5a56a3d02eee492feec8dca508617bad3</citedby><cites>FETCH-LOGICAL-c343t-8cf6f9ceae8a835e8be28f4203ca3f7a5a56a3d02eee492feec8dca508617bad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38270935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Feng</creatorcontrib><creatorcontrib>Wang, Decai</creatorcontrib><creatorcontrib>Xiao, Ou</creatorcontrib><creatorcontrib>Guo, Xinxing</creatorcontrib><creatorcontrib>Yin, Qiuxia</creatorcontrib><creatorcontrib>Luo, Lixia</creatorcontrib><creatorcontrib>He, Mingguang</creatorcontrib><creatorcontrib>Li, Zhixi</creatorcontrib><title>Four-Year Progression of Myopic Maculopathy in Children and Adolescents With High Myopia</title><title>Archives of ophthalmology (1960)</title><addtitle>JAMA Ophthalmol</addtitle><description>Individuals with high myopia younger than 18 years are at relatively high risk of progressively worsening myopic maculopathy. Additional studies are needed to investigate the progression of myopic maculopathy in this age group, as well as the risk factors associated with progression.
To investigate the 4-year progression of myopic maculopathy in children and adolescents with high myopia, and to explore potential risk factors.
This hospital-based observational study with 4-year follow-up included a total of 548 high myopic eyes (spherical power -6.00 or less diopters) of 274 participants aged 7 to 17 years. Participants underwent comprehensive ophthalmic examination at baseline and 4-year follow-up. Myopic maculopathy was accessed by the International Photographic Classification and Grading System. The data analysis was performed from August 1 to 15, 2023.
The progression of myopic maculopathy progression over 4 years and associated risk factors.
The 4-year progression of myopic maculopathy was found in 67 of 548 eyes (12.2%) of 274 participants (138 girls [50.4%] at baseline and 4-year follow-up) with 88 lesion changes, including new signs of the tessellated fundus in 16 eyes (18.2%), diffuse atrophy in 12 eyes (13.6%), patchy atrophy in 2 eyes (2.3%), lacquer cracks in 9 eyes (10.2%), and enlargement of diffuse atrophy in 49 eyes (55.7%). By multivariable analysis, worse best-corrected visual acuity (odds ratio [OR], 6.68; 95% CI, 1.15-38.99; P = .04), longer axial length (AL) (OR, 1.73; 95% CI, 1.34-2.24; P < .001), faster AL elongation (OR, 302.83; 95% CI, 28.61-3205.64; P < .001), and more severe myopic maculopathy (diffuse atrophy; OR, 4.52; 95% CI, 1.98-10.30; P < .001 and patchy atrophy; OR, 3.82; 95% CI, 1.66-8.80; P = .002) were associated with myopic maculopathy progression.
In this observational study, the progression of myopic maculopathy was observed in approximately 12% of pediatric high myopes for 4 years. The major type of progression was the enlargement of diffuse atrophy. Risk factors for myopic maculopathy progression were worse best-corrected visual acuity, longer AL, faster AL elongation, and more severe myopic maculopathy. These findings support consideration of follow-up in these individuals and trying to identify those at higher risk for progression.</description><subject>Acuity</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Atrophy</subject><subject>Atrophy - complications</subject><subject>Child</subject><subject>Elongation</subject><subject>Enlargement</subject><subject>Eye</subject><subject>Female</subject><subject>Humans</subject><subject>Macular Degeneration - complications</subject><subject>Myopia</subject><subject>Myopia, Degenerative - complications</subject><subject>Myopia, Degenerative - diagnosis</subject><subject>Observational studies</subject><subject>Pediatrics</subject><subject>Retinal Diseases - diagnosis</subject><subject>Risk factors</subject><subject>Visual Acuity</subject><issn>2168-6165</issn><issn>2168-6173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUbFOwzAQtRCIVtBfQJZYWFIcO06csaooILWCAQRM1tW5NKmSONjJ0L8nVUsluOVueO_uvXuE0JBNQ8bC-y3UYNuiK6CqbTXljItpLML0jIx5GKsgDhNxfppjOSIT77dsKMVYJOQlGQnFE5YKOSafC9u74AvB0VdnNw69L21DbU5XO9uWhq7A9JVtoSt2tGzovCirzGFDocnoLLMVeoNN5-lH2RX0qdwUByJck4scKo-TY78i74uHt_lTsHx5fJ7PloERkegCZfI4Tw0CKlBColojV3nEmTAg8gQkyBhExjgiRinPEY3KDEimBptryMQVuTvsbZ397tF3ui4HSVUFDdrea56GSrJUxWyA3v6DbgfzzaBOC8ajJE1kzAeUOqCMs947zHXryhrcTodM7wPQfwPQ-wD0PoCBenM80K9rzE7E33eLH9iThqU</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Jiang, Feng</creator><creator>Wang, Decai</creator><creator>Xiao, Ou</creator><creator>Guo, Xinxing</creator><creator>Yin, Qiuxia</creator><creator>Luo, Lixia</creator><creator>He, Mingguang</creator><creator>Li, Zhixi</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20240301</creationdate><title>Four-Year Progression of Myopic Maculopathy in Children and Adolescents With High Myopia</title><author>Jiang, Feng ; Wang, Decai ; Xiao, Ou ; Guo, Xinxing ; Yin, Qiuxia ; Luo, Lixia ; He, Mingguang ; Li, Zhixi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-8cf6f9ceae8a835e8be28f4203ca3f7a5a56a3d02eee492feec8dca508617bad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acuity</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Atrophy</topic><topic>Atrophy - complications</topic><topic>Child</topic><topic>Elongation</topic><topic>Enlargement</topic><topic>Eye</topic><topic>Female</topic><topic>Humans</topic><topic>Macular Degeneration - complications</topic><topic>Myopia</topic><topic>Myopia, Degenerative - complications</topic><topic>Myopia, Degenerative - diagnosis</topic><topic>Observational studies</topic><topic>Pediatrics</topic><topic>Retinal Diseases - diagnosis</topic><topic>Risk factors</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Feng</creatorcontrib><creatorcontrib>Wang, Decai</creatorcontrib><creatorcontrib>Xiao, Ou</creatorcontrib><creatorcontrib>Guo, Xinxing</creatorcontrib><creatorcontrib>Yin, Qiuxia</creatorcontrib><creatorcontrib>Luo, Lixia</creatorcontrib><creatorcontrib>He, Mingguang</creatorcontrib><creatorcontrib>Li, Zhixi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of ophthalmology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Feng</au><au>Wang, Decai</au><au>Xiao, Ou</au><au>Guo, Xinxing</au><au>Yin, Qiuxia</au><au>Luo, Lixia</au><au>He, Mingguang</au><au>Li, Zhixi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Four-Year Progression of Myopic Maculopathy in Children and Adolescents With High Myopia</atitle><jtitle>Archives of ophthalmology (1960)</jtitle><addtitle>JAMA Ophthalmol</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>142</volume><issue>3</issue><spage>180</spage><epage>186</epage><pages>180-186</pages><issn>2168-6165</issn><eissn>2168-6173</eissn><abstract>Individuals with high myopia younger than 18 years are at relatively high risk of progressively worsening myopic maculopathy. Additional studies are needed to investigate the progression of myopic maculopathy in this age group, as well as the risk factors associated with progression.
To investigate the 4-year progression of myopic maculopathy in children and adolescents with high myopia, and to explore potential risk factors.
This hospital-based observational study with 4-year follow-up included a total of 548 high myopic eyes (spherical power -6.00 or less diopters) of 274 participants aged 7 to 17 years. Participants underwent comprehensive ophthalmic examination at baseline and 4-year follow-up. Myopic maculopathy was accessed by the International Photographic Classification and Grading System. The data analysis was performed from August 1 to 15, 2023.
The progression of myopic maculopathy progression over 4 years and associated risk factors.
The 4-year progression of myopic maculopathy was found in 67 of 548 eyes (12.2%) of 274 participants (138 girls [50.4%] at baseline and 4-year follow-up) with 88 lesion changes, including new signs of the tessellated fundus in 16 eyes (18.2%), diffuse atrophy in 12 eyes (13.6%), patchy atrophy in 2 eyes (2.3%), lacquer cracks in 9 eyes (10.2%), and enlargement of diffuse atrophy in 49 eyes (55.7%). By multivariable analysis, worse best-corrected visual acuity (odds ratio [OR], 6.68; 95% CI, 1.15-38.99; P = .04), longer axial length (AL) (OR, 1.73; 95% CI, 1.34-2.24; P < .001), faster AL elongation (OR, 302.83; 95% CI, 28.61-3205.64; P < .001), and more severe myopic maculopathy (diffuse atrophy; OR, 4.52; 95% CI, 1.98-10.30; P < .001 and patchy atrophy; OR, 3.82; 95% CI, 1.66-8.80; P = .002) were associated with myopic maculopathy progression.
In this observational study, the progression of myopic maculopathy was observed in approximately 12% of pediatric high myopes for 4 years. The major type of progression was the enlargement of diffuse atrophy. Risk factors for myopic maculopathy progression were worse best-corrected visual acuity, longer AL, faster AL elongation, and more severe myopic maculopathy. These findings support consideration of follow-up in these individuals and trying to identify those at higher risk for progression.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>38270935</pmid><doi>10.1001/jamaophthalmol.2023.6319</doi><tpages>7</tpages></addata></record> |
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| subjects | Acuity Adolescent Adolescents Atrophy Atrophy - complications Child Elongation Enlargement Eye Female Humans Macular Degeneration - complications Myopia Myopia, Degenerative - complications Myopia, Degenerative - diagnosis Observational studies Pediatrics Retinal Diseases - diagnosis Risk factors Visual Acuity |
| title | Four-Year Progression of Myopic Maculopathy in Children and Adolescents With High Myopia |
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