Lacquer cracks observed in peripheral fundus of eyes with high myopia

We report a case with lacquer cracks observed in the peripheral fundus. A 37-year-old patient with bilateral high myopia who visited our clinic was examined by fluorescein angiography (FA) and fundus autofluorescence (FAF) to determine whether there were myopic fundus lesions. FA showed many arch-shaped, hyperfluorescent linear lesions running circumferentially in the peripheral fundus. FAF showed hypo-autofluorescence at the corresponding sites. These characteristics were very similar to the lacquer cracks present in the posterior fundus in highly myopic eyes. Although lacquer cracks in the peripheral fundus are rare, they should be considered in the differential diagnosis of peripheral linear lesions showing hyperfluorescence in FA.