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Am J OphthalmolNovember 200521 citations

Low levels of pigment epithelium-derived factor in highly myopic eyes with chorioretinal atrophy.

Ogata Nahoko, Imaizumi Masahito, Miyashiro Miki, Arichi Miwa, Matsuoka Masato, Ando Akira, Matsumura Miyo


AI Summary

Highly myopic eyes, especially with chorioretinal atrophy, showed significantly lower aqueous PEDF levels. This suggests PEDF reduction may contribute to myopic degeneration, potentially guiding future therapeutic strategies.

Abstract

Purpose

To determine the concentration of pigment epithelium-derived factor (PEDF) in the aqueous humor of highly myopic eyes.

Design

Observational case series.

Methods

The PEDF concentration in the aqueous humor of 23 eyes of 17 patients with high myopia (axial length >26 mm) who underwent cataract surgery was measured by enzyme-linked immunosorbent assay.

Results

The mean concentration of PEDF in eyes with high myopia (0.54 +/- 0.12 microg/ml) was significantly lower than that in control eyes (0.86 +/- 0.04 microg/ml, P = .0022). The PEDF level in myopic eyes with chorioretinal atrophy (0.32 +/- 0.05 microg/ml) was lower than that in myopic eyes without chorioretinal atrophy (0.71 +/- 0.12 microg/ml; P = .041) and control eyes (P = .0003).

Conclusions

The significantly lower concentration of PEDF in eyes with chorioretinal atrophy-associated high myopia probably resulted from degeneration of the retinal pigment epithelial cells and/or the retinal ganglion cells that are the main sources of PEDF in the eye.


MeSH Terms

AgedAged, 80 and overAqueous HumorAtrophyCataract ExtractionEnzyme-Linked Immunosorbent AssayEye ProteinsFemaleHumansMaleMiddle AgedMyopia, DegenerativeNerve Growth FactorsRetinaSerpinsPigment Epithelium-Derived Factor

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