1Assistant Professor, Ophthalmology, Rajiv Gandhi Institute of Medical Sciences (RIMS), Adilabad, Andhra Pradesh
2Professor, Ophthalmology, Osmania Medical College, Hyderabad, Andhra Pradesh
3Former Professor, Ophthalmology, Osmania Medical College, Hyderabad, Andhra Pradesh
4MBBS, NKP Salve Institute of Medical Sciences
Myopia is one of the common refractive errors in general population. If examination of retinal periphery becomes part of a routine clinical procedure in all myopic eyes then a significant number of pathologic alterations could be detected at the earliest and it can be appropriately treated. This study was conducted with a view to emphasize the need for the above.
A total of 87 patients between 11years to 71 years of age were included. Cases which presented with photopsiae, floaters, history of trauma, diabetes, hypertension and any other obvious ocular disease were also excluded. Retinoscopy was done in all cases to assess the total refractive error. The axial length of each eye was recorded using cooper vision ultrasound digital A-I I using automatic freeze method.
Peripheral retinal degenerations were found in 42% of cases and in these cases lattice degeneration was most common followed by white without pressure. The maximum percentage of lesions were observed in eyes between axial lengths of 25mm-30mm. Majority of cases of lattice degeneration and white without pressure were in the age group of 21–30 years. Majority of lesions were in the superotemporal quadrant (60%). Lattice degeneration was bilateral in 50% of cases while it was 57% in white without pressure and 56% in pigmentary degeneration. Percentage of eyes showing single lesion was found to be 83%.
We conclude that lattice degeneration and white without pressure are important peripheral retinal degenerations in myopic eyes of the regional population are related to an increased axial length.
Myopia, Peripheral Degeneration, Lattice Degeneration