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Macular diseases in myopia
Author(s) -
Creuzot C.
Publication year - 2015
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2015.0612
Subject(s) - medicine , ophthalmology , choroid , macular degeneration , retinal pigment epithelium , fundus (uterus) , visual acuity , choroidal neovascularization , angioid streaks , ectasia , posterior pole , retina , retinal , surgery , biology , neuroscience
Summary Pathologic myopia is a leading cause of blindness wordlwide with macular degeneration often related to a posterior ectasia named staphyloma. This degeneration leads to a progressive thinning of the retinal pigment epithelium and choroid. The main signs of macular diseases due to myopia can vary from yellow‐white breaks in Bruch's membrane called lacquer cracks, subretinal hemorrhages and secondary neovascularisation that can be associated. The diagnosis can be made with visual acuity measurement, fundus exam, OCT , autofluorescence and angiography to differentiate isolated hemorhhages and choroidal neovascularisation. The prognosis of myopic choroidal neovascularisation has been greatly improved with antiangiogneic agents.