Retinal and Choroidal Thickness in Myopic Young Adults

The retinal and the choroidal thickness were measured at four locations along the horizontal direction (foveola, one nasal to the fovea and two temporal) in a group of 43 young adults (mean age: 27.1 +/- 3.9 years), with ocular refraction ranging from emmetropia to high myopia (0 to -10D). Thickness values were obtained from OCT images centered at the foveal depression. The retinal thickness exhibited a correlation with refraction at all eccentricities but not at the fovea. When different subgroups of refraction were considered, the analysis of such correlations indicated that only the retinal thickness in the group of high myopia (refraction <= -6D) was statistically different from the other two groups (emmetropes: [-0.5, 0] D, and myopes: (-6, -0.5) D). No significant differences were found between emmetropic and myopic groups. In contrast to the retina, the choroidal thickness exhibited a significant correlation with refraction at the fovea, although such dependency only stood for high myopes (the choroid of myopes and emmetropes exhibited similar thickness). Correlation with refraction was also found at the nasal location, arising between emmetropic and high myopia groups. Other choroidal locations among groups did not exhibit relationship with the refraction. It is concluded that the differences in the choroid and retina thickness along the horizontal meridian as a function of refraction do not characterize the onset and progression of myopia at early stages, since they only manifest in the group of high myopia.

Automated summary

The study found that retinal thickness correlated with refraction at all eccentricities except the fovea, and the retinal thickness in the high myopia group was significantly different from the other two groups. In contrast, choroidal thickness showed a significant correlation with refraction at the fovea, but only in high myopes. Correlation with refraction was also found at the nasal location, between emmetropic and high myopia groups.