Peripheral retinal changes in highly myopic young Asian eyes

Abstract

White without pressure (WWOP) and LD were the commonest peripheral retinal changes. One-third of high myopes with LD had more than one area in the same eye. Increasing AL was associated with LD and retinal holes. Studies in older adults should be conducted to develop clinical guidelines for the management of high myopes.

Posterior segment conditions associated with myopia and high myopia

“…28 WWOP was found to be highly prevalent and was observed in 57.2 per cent of highly myopic individuals with more than one WWOP area. 26 WWOP was also reported in young children with high myopia (11 per cent in children aged ≤ 10 years). 29 Severe visual impairment (BCVA equal to 6/60) was observed in myopic adults with WWOP and co-existing peripheral retinal degenerations.…”

“…Vitreous humour • Vitreous liquefaction [10][11][12] • Posterior vitreous detachment 10,13,14 12.5% (myopia < −8.25 D) 13 Optic disc • Tilt and rotation [15][16][17][18] • Myopic conus [19][20][21] • Peri-papillary atrophy [19][20][21][22][23] 33.8% (myopia < −8.00 D) 24 Peripheral retina • Lattice degeneration [25][26][27] • White without pressure 26,28 • Peripheral retinal degeneration [25][26][27]29,30 16.9% (myopia < −6.00 D) 26 Choroid/retinal pigment epithelium/sclera/retina…”

“…89 Also, atrophic retinal holes within the lattice may cause a localised retinal detachment. It is one of the most commonly occurring peripheral retinal changes in high myopia (≥ −6.00 DS), 26 with prevalence ranging from 12 to 17 per cent in adults. 25,26 It was also observed in 20 per cent of high myopic (−6.00 DS to −25.00 DS) children aged ≤ 10 years.…”

“…It is one of the most commonly occurring peripheral retinal changes in high myopia (≥ −6.00 DS), 26 with prevalence ranging from 12 to 17 per cent in adults. 25,26 It was also observed in 20 per cent of high myopic (−6.00 DS to −25.00 DS) children aged ≤ 10 years. 29 Peripheral lattice degeneration with high myopia may be associated with moderate visual impairment.…”

“…It is recommended that a detailed retinal examination be performed and the individual observed closely, with regular monitoring performed for any retinal breaks or holes is also recommended. 26,29 Choroid/retinal pigment epithelium/sclera/retina…”