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In the high myopic eyes, subgroup analysis of macular choroidal thickness was performed in eyes with or without lacquer cracks and choroidal neovascularization (CNV). Univariate and multivariate linear regression analyses were performed to assess the association between choroidal thickness and clinical factors such as axial length (AL), spherical equivalent (SE), and central corneal thickness. Using enhanced depth imaging optical coherence tomography (EDI-OCT), the macular choroidal thickness of high myopic eyes and normal control eyes were measured and compared at each location. Comprehensive meta analysis version 2.0 comprehensive meta analysis version 2We first conducted a cross-sectional study and then performed a meta-analysis to address this issue further. Free comprehensive meta-analyse version 2 download software at UpdateStar -.

Among these complications, chorioretinal atrophy, augmented by choroidal thinning, can lead to photoreceptor cell death, which results in the consequent loss of central visual function. Excessive axial elongation of the eyeball is thought to be one of the main causes of the ocular complications mentioned above. High myopia is always accompanied by pathological structural changes, such as axial elongation, posterior scleral staphyloma, lacquer crack formation, thinning of the retina and chorioid, and choroidal neovascularization (CNV). It has been reported that about 1 % of the population suffers from this disease. The presence of CNV and of lacquer cracks is associated strongly with eyes with thinner macular choroids.High myopia is one of the main causes of visual impairment worldwide.

Several researchers have found that in high myopic eyes, the choroidal thickness is significantly thinner than in normal eyes. With the enhanced depth imaging (EDI) technique of optical coherence tomography (OCT) instruments, images of the choroid have improved, making it possible to measure choroidal thickness more accurately, safely, and simply. Choroidal thickness may be an important parameter in studying the pathogenesis of high myopia. As we all know, in high myopic eyes, the earliest changes begin in the choroid recent interest has focused on the choroid as an important structure involved in the pathophysiology of high myopia. Myopic CNV develops into secondary chorioretinal central atrophy and leads to central scotoma.

Patients were excluded from this study if they presented with any retinal abnormalities other than high myopia such as diabetic retinopathy, uveitis, drusen, retinal vascular abnormalities, age-related macular degeneration, or other eye diseases such as the history of amblyopia or glaucoma. All the subjects were from a Chinese Han population, and they were prospectively and consecutively recruited for this study between October 2012 and November 2014.In the high myopia group, the inclusion criteria were as follows: (1) high myopia was defined as an SE > −6 diopters (D) (2) all eyes had clear ocular media (3) a clear image was obtained to enable precise measurement of the choroidal thickness. Written informed consent was obtained from the participants before the study began. Finally, given the data accumulated, we sought to conduct a comprehensive meta-analysis to calculate the differences in SFCT between high myopic eyes and normal control eyes quantificationally.This study was approved by the Ethical Review Committee of Aier Eye Hospital and adhered to the provisions of the Declaration of Helsinki for research involving human subjects. In addition, because of the myopic CNV and the lacquer crack, which would develop into secondary chorioretinal central atrophy, we compare the subfoveal choroidal thickness (SFCT) in high myopic eyes with or without CNV and with or without lacquer cracks. Therefore, the aim of this study was to evaluate the macular choroidal thickness in Chinese patients with high myopia and normal subjects and to determine the correlation with clinical factors in high myopic eyes.

B-scanning was also performed. All the eyes of the subjects also underwent a thorough ophthalmic evaluation, including intraocular pressure (IOP) measurement, slit-lamp biomicroscopy, dilated ophthalmoscopy fundus examination, and color fundus photographs (Canon, Retinal Camera CR-DGi, Japan). SE was calculated as the sum of the spherical power and half of the cylinder power. ExaminationAll subjects underwent a refractive error examination without pupil dilation using autorefraction (NIDEK, AR-310A, Japan). In the control group, the inclusion criterion was healthy eyes with an SE between −3 D to 3 D. Patients with systemic diseases were also excluded.

Choroidal thicknesses were measured at the subfovea, 1 mm and 3 mm, nasally, temporally, superiorly, and inferiorly. Choroidal thickness was defined as the distance between the retinal pigment epithelium (outermost hyperreflective line) to the inner margin of the sclera. In brief, the vertical and horizontal sections going directly through the centre of the fovea were used for final analysis.

The demographics and ocular parameters between highly myopic and control eyes were compared using independent t-tests. Categorical covariates were assessed individually with the chi-square test. Statistical analysisStatistical analysis was performed with SPSS software package version 17 (SPSS Inc, Chicago, IL, USA). To avoid possible diurnal variation in choroidal thickness , all EDI-OCT examinations were performed between 9 AM and 12 AM. If neither image had a clearly identifiable CSI, additional images were taken to produce the best possible view of the CSI. The images were obtained with the best visualization of the border between the choroid and the sclera known as the choroidal–scleral interface (CSI).

Variables with a probability value ≤0.10 in univariate analyses were included in the multivariate analysis using a stepwise method. Univariate regression analyses were performed separately for each variable. Univariate and multivariate regression analysis was used to evaluate the potential factors associated with SFCT in high myopia subjects.

The following search strategy was performed in PubMed: ((Choroidal AND thickness) OR ("choroid" OR "choroid")) AND (("myopia" OR "myopia") OR ("myopia" OR "myopia" OR "myopic")). Meta-analysisLiterature searches were performed in the following databases: PubMed, ISI Web of Science, EMBASE in English and in the Chinese National Knowledge Infrastructure (CNKI) ( ), VIP ( ), and Wan Fang ( ) in Chinese. For all the tests, P < 0.05 was considered significant.

The final literature search was updated December 2014, with no restrictions on publication year, language, or methodological filter.Studies that met the following criteria were included in this meta-analysis: (a) cross-sectional or case–control design (b) choroidal thickness measured by OCT (c) differences in choroidal thickness between patients with high myopia and controls reported. If there were several studies published by the same population, the recent study was included.