Peripapillary intrachoroidal cavitation in myopia (clinical case)

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Abstract

In pathological myopia, axial elongation of the eye is accompanied by various changes of the fundus. The introduction of the method of optical coherence tomography into clinical practice made it possible to describe new variants of structural changes in myopia, in particular, peripapillary intrachoroidal cavitation. The article presents a clinical case and provides known data on this rare condition in pathological myopia.

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About the authors

Aleksei A. Suetov

S. Fyodorov Eye Microsurgery Federal State Institution, Saint Petersburg Branch; State Scientific Research Test Institute of Military Medicine

Email: ophtalm@mail.ru
ORCID iD: 0000-0002-8670-2964
SPIN-code: 4286-6100

МD, Cand. Sci. (Med.), ophthalmologist, senior research associate

Russian Federation, Saint Petersburg; Saint Petersburg

Taisiia A. Doktorova

State Scientific Research Test Institute of Military Medicine; North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: taisiiadok@mail.ru
ORCID iD: 0000-0003-2162-4018

postgraduate student, ophthalmologist

Russian Federation, Saint Petersburg; Saint Petersburg

Nina A. Molodkina

S. Fyodorov Eye Microsurgery Federal State Institution, Saint Petersburg Branch

Email: nina_molodkina@mail.ru

ophthalmologist

Russian Federation, Saint Petersburg

Ernest V. Boiko

S. Fyodorov Eye Microsurgery Federal State Institution, Saint Petersburg Branch; North-Western State Medical University named after I.I. Mechnikov

Email: office@mntk.spb.ru
ORCID iD: 0000-0002-7413-7478
SPIN-code: 7589-2512

МD, Dr. Sci. (Med.), professor, director; head of the Ophthalmology Department

Russian Federation, Saint Petersburg; Saint Petersburg

References

  1. Markosian GA, Tarutta EP, Tarasova NA, Maximova MV. The fundus changes in pathological myopia. Russian journal of clinical ophthalmology. 2019;19(2):99–104. (In Russ.) doi: 10.32364/2311-7729-2019-19-2-99-104
  2. Nassar S, Tarbett AK, Browning DJ. Choroidal cavitary disorders. Clin Ophthalmol. 2020;14:2609–2623. doi: 10.2147/OPTH.S264731
  3. Freund KB, Mukkamala SK, Cooney MJ. Peripapillary choroidal thickening and cavitation. Arch Ophthalmol. 2011;129(8):1096–1097. doi: 10.1001/archophthalmol.2011.208
  4. Toranzo J, Cohen SY, Erginay A, Gaudric A. Peripapillary intrachoroidal cavitation in myopia. Am J Ophthalmol. 2005;140(4):731–732. doi: 10.1016/j.ajo.2005.03.063
  5. Spaide RF, Akiba M, Ohno-Matsui K. Evaluation of peripapillary intrachoroidal cavitation with swept source and enhanced depth imaging optical coherence tomography. Retina. 2012;32(6):1037–1044. doi: 10.1097/IAE.0b013e318242b9c0
  6. Yeh S-I, Chang W-C, Wu C-H, et al. Characteristics of peripapillary choroidal cavitation detected by optical coherence tomography. Ophthalmology. 2013;120(3):544–552. doi: 10.1016/j.ophtha.2012.08.028
  7. Shimada N, Ohno-Matsui K, Nishimuta A, et al. Peripapillary changes detected by optical coherence tomography in eyes with high myopia. Ophthalmology. 2007;114(11):2070–2076. doi: 10.1016/j.ophtha.2007.01.016
  8. Akimoto M, Akagi T, Okazaki K, Chihara E. Recurrent macular detachment and retinoschisis associated with intrachoroidal cavitation in a normal eye. Case Rep Ophthalmol. 2012;3(2):169–174. doi: 10.1159/000339292
  9. Ando Y, Inoue M, Ohno-Matsui K, et al. Macular detachment associated with intrachoroidal cavitation in nonpathological myopic eyes. Retina. 2015;35(10):1943–1950. doi: 10.1097/IAE.0000000000000575
  10. Mazzaferro A, Carnevali A, Zucchiatti I, et al. Optical coherence tomography angiography features of intrachoroidal peripapillary cavitation. Eur J Ophthalmol. 2017;27(2):e32–e34. doi: 10.5301/ejo.5000901
  11. Forte R, Pascotto F, Cennamo G, de Crecchio G. Evaluation of peripapillary detachment in pathologic myopia with en face optical coherence tomography. Eye. 2008;22:158–161. doi: 10.1038/sj.eye.6702666
  12. Anderson DR. Ultrastructure of human and monkey lamina cribrosa and optic nerve head. Arch Ophthalmol. 1969;82(6):800–814. doi: 10.1001/archopht.1969.00990020792015
  13. Wei Y-H, Yang C-M, Chen M-S, et al. Peripapillary intrachoroidal cavitation in high myopia: Reappraisal. Eye. 2009;23:141–144. doi: 10.1038/sj.eye.6702961
  14. Shimada N, Ohno-Matsui K, Yoshida T, et al. Characteristics of peripapillary detachment in pathologic myopia. Arch Ophthalmol. 2006;124(1):46–52. doi: 10.1001/archopht.124.1.46
  15. Yoshizawa C, Saito W, Noda K, Ishida S. Pars plana vitrectomy for macular schisis associated with peripapillary intrachoroidal cavitation. Ophthalmic Surg Lasers Imaging Retin. 2014;45(4):350–353. doi: 10.3928/23258160-20140617-03

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2. Fig. 1. Fundus images of both eyes of a patient with peripapillary intrachoroidal cavitation. The areas of peripapillary intrachoroidal cavitation are located peripapillary along the upper and lower edges of the myopic conus and have a communication with the vitreal cavity in the optic disc area (arrow, explanations in the text)

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3. Fig. 2. Peripapillary intrachoroidal cavitation: а — fundus image of the optic disc with peripapillary changes; b — fundus autofluorescence image; с–f — optical coherence tomography, structural scans of the optic disc with capture of peripapillary intracoroidal cavitation at different levels (explanations in the text)

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