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Choroidal thickness in young adults and its association with visual acuity

Lee, SSY, Lingham, G, Alonso-Caneiro, D, Chen, FK, Yazar, S, Hewitt, AW ORCID: 0000-0002-5123-5999 and Mackey, DA 2020 , 'Choroidal thickness in young adults and its association with visual acuity' , American Journal of Ophthalmology, vol. 214 , pp. 40-51 , doi:

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Purpose: To describe the choroidal thickness (ChT) in a large sample of young adults with the aim of establishing a normative ChT profile reference in this demographic cohort and explore its association with best-corrected visual acuity (BCVA). Design: Cross-sectional study. Methods: From a single center, 741 young adults (19-30 years of age, 49% male) were recruited to undergo a comprehensive ophthalmic examination, including BCVA measurement, post-cycloplegic autorefraction, ocular biometry, tonometry, and spectral-domain optical coherence tomography (SD-OCT) imaging. The enhanced depth imaging mode on the SD-OCT was used. The main outcome measure was the central macular ChT (0.5-mm radius around the fovea). The ChTs at the inner (between 0.5-mm and 1.5-mm radius) and outer macular rings (between 1.5-mm and 2.5-mm radius) were also measured. Results: The median central macular ChT was 370 μm (interquartile range 312-406 μm). The choroid was thickest at the superior-inner, inferior-inner, and central macular regions (370-373 μm) and thinnest nasally at the outer macular region (median 256 μm). Decreased central macular ChT was associated with younger age, female sex, nonwhite ethnicities, and myopia (P ≤ .013). There was a significant association between better BCVA and increased central macular ChT (P P = .019) and absent in eyes with ChTs >300 μm. Conclusions: The central ChT of young adults was 370 μm. There was a significant association between worse BCVA and thinner choroids below a threshold of 300 μm, raising the possibility that ChT could be predictive of visual function.

Item Type: Article
Authors/Creators:Lee, SSY and Lingham, G and Alonso-Caneiro, D and Chen, FK and Yazar, S and Hewitt, AW and Mackey, DA
Journal or Publication Title: American Journal of Ophthalmology
Publisher: Elsevier Science Inc
ISSN: 0002-9394
DOI / ID Number:
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© 2020 Elsevier Inc. All rights reserved.

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