Progress in retinal and eye research · 2024
Optic neuropathy in high myopia: Glaucoma or high myopia or both?
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Zhang Xiulan, Jiang Jingwen, Kong Kangjie, Li Fei, Chen Shida, Wang Peiyuan, Song Yunhe, Lin Fengbin, Lin Timothy P H, Zangwill Linda M, Ohno-Matsui Kyoko, Jonas Jost B, Weinreb Robert N, Lam Dennis S C, Glaucoma Suspects with High Myopia Study Group
Аннотация
Due to the increasing prevalence of high myopia around the world, structural and functional damages to the optic nerve in high myopia has recently attracted much attention. Evidence has shown that high myopia is related to the development of glaucomatous or glaucoma-like optic neuropathy, and that both have many common features. These similarities often pose a diagnostic challenge that will affect the future management of glaucoma suspects in high myopia. In this review, we summarize similarities and differences in optic neuropathy arising from non-pathologic high myopia and glaucoma by considering their respective structural and functional characteristics on fundus photography, optical coherence tomography scanning, and visual field tests. These features may also help to distinguish the underlying mechanisms of the optic neuropathies and to determine management strategies for patients with high myopia and glaucoma.