![]() Breaks in Bruch’s membrane with accompanying choroidal atrophy known as lacquer cracks may be present.Look for patchy choroidal atrophy within the posterior pole.Posterior staphyloma and/or a myopic crescent present.Black curtain or film cover their visual field.Visual disturbances (such as flashes and/or floaters).Most patients with high degenerative myopia are asymptomatic unless they experience a complication such as a retinal detachment then they will experience the following symptoms: Determine a monitoring or treatment regimen.Isolate any potential risk for retinal detachment.Determine the extend of the structural damage in the retina.The main goal of the diagnostic evaluation of a patient with high degenerative myopia is to accomplish the following: Increase in floaters or flashes of light severely affects patients ability to function.Visual distortions or disturbances noted.Sometimes visual acuity is affected depending on how close detachment is to the macula.Associated visual field defects and vision loss.Increase chances of permanent vision loss if complications like retinal detachments occur then the following functional damage can seen.Traction from inflammatory or vascular fibrous membranes causes adhesions between the vitreous gel and the retina leading to detachments.Accumulation of subretinal fluid in inappropriate places.Separation of sensory retinal tissue to underlying retinal pigment epithelium and choroid due to holes, tears or breaks.Subretinal neovascularization without Fuchs’ spot (subretinal scarring, bleeding, exudate).Subretinal neovascular membrane with overlying retinal pigment epithelial hyperplasia (Fuchs’ spot).Lacquer cracks or breaks in Bruch’s membrane with accompanying choroidal atrophy.Patchy choroidal atrophy within the posterior pole.You have new or sudden floaters and flashes.Īnna Barden also contributed to this article. You notice any blind spots in your vision. Your vision becomes noticeably more blurry. See your eye doctor right away if you experience any of these symptoms: But pathologic myopia causes rapid changes to the eye, so it typically requires more frequent checkups. When to see an eye doctorĮveryone with any degree of myopia should have regular eye exams. With pathologic myopia, a prescription may not ever become stable. LASIK and other laser eye surgery can only be performed to correct a stable prescription. LEARN MORE: Can myopia be cured? Can LASIK correct pathologic myopia? The treatments for the degenerative damage of pathologic myopia focus on reducing further damage to the retina. They may require low vision care and rehabilitation. However, some people still have reduced vision, even with the best possible corrective lenses. There is no cure for pathologic myopia, but there are ways to manage its complications.įor some people, eyeglasses and contact lenses can help correct extreme nearsightedness. Reduced vision even with vision correctionĭifficulty with tasks like reading, driving or cooking due to vision distortionĪn eye doctor can diagnose pathologic myopia with a comprehensive eye exam that includes a retinal exam. This is what can lead to degenerative damage and serious eye conditions. This growth can eventually cause the retina and other tissues in the back of the eyes to stretch and become weak. Myopia and progressive myopia are primarily caused by the eyes growing too long. It is considered to be hereditary, but the hereditary pattern is not fully understood yet. However, like nearsightedness, it is often present from early childhood. Pathologic myopia (degenerative myopia) only affects about 3% of the world’s population. SEE RELATED: Why myopia progression is a concern Causes of pathologic myopia This is why pathologic myopia used to be called myopic degeneration or degenerative myopia. It is a form of myopia that is diagnosed if specific types of degenerative damage develop at the back of the eye.ĭegenerative means that the damage is progressive and reduces the tissues' ability to function. Pathologic myopia is not a degree of nearsightedness. It can also lead to serious eye complications and blindness. High myopia is a severe degree of nearsightedness. Progressive myopia is nearsightedness that gets worse year after year. Myopia (nearsightedness) is a common refractive error that makes faraway objects look blurry. Pathologic myopia (formerly myopic degeneration) is less common than high myopia and can lead to blindness. It is often the result of high myopia but can also occur in eyes that have not progressed to high myopia. Pathologic myopia is characterized by the presence of degenerative damage in the eyes.
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