Commentary review on peripapillary morphological characteristics in high myopia eyes with glaucoma: diagnostic challenges and strategies
Author:
Corresponding Author:

Rui-Hua Wei. Tianjin International Joint Research and Development Centre of Ophthalmology and Vision Science, Tianjin 300384, China. rwei@tmu.edu.cn; Yan-Nian Hui. Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, Xi'an 710023, Shaanxi Province, China. ynlhui@163.com

Affiliation:

Clc Number:

Fund Project:

Supported by National Natural Science Foundation of China (No.81770901).

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    The incidences of open angle glaucoma (OAG) and high myopia are increasing concomitantly. Considering the aging population and concurrent rapid increase in the number of individuals with myopia, the risk of visual defects caused by highly myopic OAG is likely to increase dramatically over the next few decades. However, precise screening and diagnosis of OAG is challenging because of the tilt and rotation of the optic disc, as well as extensive β-zone parapapillary atrophy in highly myopic eyes. Recent advances in optical coherence tomography (OCT) and OCT angiography (OCTA) technologies imply that both modalities are promising tools for the detection of highly myopic OAG. Notably, the diagnosis of OAG remains to be determined with the longitudinal changes of functional damages (e.g. visual field defect, visual electrophysiological changes). We herein describe some aspects of microvascular and microstructural pathology in patients with highly myopic OAG and proposes a framework for the development of novel diagnostic and therapeutic strategies.

    Reference
    Related
    Cited by
Get Citation

Yan-Hui Chen, Rui-Hua Wei, Yan-Nian Hui. Commentary review on peripapillary morphological characteristics in high myopia eyes with glaucoma: diagnostic challenges and strategies. Int J Ophthalmol, 2021,14(4):600-605

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
Publication History
  • Received:October 22,2020
  • Revised:December 30,2020
  • Adopted:
  • Online: February 25,2021
  • Published: