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The Choroid

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Pathologic Myopia

Abstract

The choroid is the most vascular structure in the body and serves the most metabolically active tissue, the retina. As such the choroid is an integral portion of the visual system and highly prone to alteration and atrophy in highly myopic eyes. The chapter starts with a presentation of the embryology, anatomy, and physiology of the choroid. Methods of imaging the choroid are discussed. These imaging modalities are used to visualize and define the abnormalities in the choroid associated with high myopia particularly myopic choroidal thinning and myopic choroidal atrophy. Additional abnormalities such as peripapillary intrachoroidal cavitation and focal choroidal excavation are delineated. Future possibilities for research are proposed.

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Acknowledgement

Sarah Mjeren, MD, provided assistance in assembling the references.

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  1. Vitreous, Retina, Macula Consultants of New York, 460 Park Ave, 5th Floor, New York, NY, 10021, USA

    Richard F. Spaide MD

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  1. Richard F. Spaide MD
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Editors and Affiliations

  1. Vitreous, Retina, Macula Consultants of New York, New York, New York, USA

    Richard F. Spaide

  2. Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan

    Kyoko Ohno-Matsui

  3. Department of Clinical Ophthalmology, Columbia University School of Medicine, LuEsther T. Mertz Retinal Research Center, New York, New York, USA

    Lawrence A. Yannuzzi

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Spaide, R.F. (2014). The Choroid. In: Spaide, R., Ohno-Matsui, K., Yannuzzi, L. (eds) Pathologic Myopia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8338-0_9

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