Variable Clinical Profile of Fovea Plana in Normal Children.

BACKGROUND AND OBJECTIVE

This study is designed to illustrate various clinical findings associated with fovea plana in normal children.

PATIENTS AND METHODS

A retrospective chart review of pediatric subjects with a diagnosis of fovea plana was conducted to evaluate the characteristics associated with this condition.

RESULTS

All eyes had 20/40 or better best-corrected visual acuity (BCVA). In five of six subjects (83%), there was bilateral fovea plana. Astigmatism equal or greater than +1.5 diopters was present in 45% of eyes. On spectral-domain optical coherence tomography (SD-OCT), a foveal depression was absent in 82% of eyes and the inner nuclear layer was present in the center of the fovea in all eyes analyzed.

CONCLUSION

Fovea plana is typically a bilateral disease and occurs in patients with generally good BCVA despite abnormal SD-OCT findings. However, unilateral disease may also be present. Astigmatism may be more prevalent in patients with fovea plana than initially suspected. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:251-257.].