Abstract
Objective
Investigate retinal characteristics of pathologic myopia (PM) among patients self-identifying
as Black.
Design
Retrospective cohort single-institution retrospective medical record review.
Methods
Adult patients between January 2005 and December 2014 with International Classification
of Diseases (ICD) codes consistent with PM and given 5-year follow-up were evaluated.
The Study Group consisted of patients self-identifying as Black, and the Comparison
Group consisted of those not self-identifying as Black. Ocular features at study baseline
and 5-year follow-up visit were evaluated.
Results
Among 428 patients with PM, 60 (14%) self-identified as Black and 18 (30%) had baseline
and 5-year follow-up visits. Of the remaining 368 patients, 63 were in the Comparison
Group. For the study (n = 18) and Comparison Group (n = 29), median (25th percentile,
75th percentile) baseline visual acuity was 20/40 (20/25, 20/50) and 20/32 (20/25,
20/50) in the better-seeing eye and 20/70 (20/50, 20/1400) and 20/100 (20/50, 20/200),
respectively, in the worse-seeing eye. In the eyes that did not have choroidal neovascularization
(CNV) in the study and Comparison Group, median study baseline optical coherence tomography
central subfield thickness was 196 μm (169, 306 μm) and 225 μm (191, 280 μm), respectively,
in the better-seeing eye and 208 μm (181, 260 μm) and 194 μm (171, 248 μm), respectively,
in the worse-seeing eye. Baseline prevalence of CNV was 1 Study Group eye (3%) and
20 Comparison Group eyes (34%). By the 5-year visit, zero (0%) and 4 (15%) additional
eyes had CNV in the study and Comparison Group, respectively.
Conclusion
These findings suggest that the prevalence and incidence of CNV may be lower in patients
with PM self-identifying as Black when compared with individuals of other races.
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Article info
Publication history
Published online: February 13, 2023
Accepted:
January 22,
2023
Received in revised form:
January 3,
2023
Received:
July 23,
2022
Publication stage
In Press Corrected ProofFootnotes
Portions of this paper were presented at the Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO), San Francisco, Calif., May 1–7, 2021.
Identification
Copyright
© 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
