What is it?

Myopia (near-sightedness) is when the eye's optical system causes incoming light rays to focus in front of the retina instead of focusing directly on the retinal surface. High myopia is defined as myopia greater than 6.00 diopters and an axial length > 26.5 mm, while pathologic (degenerative) myopia will exhibit an axial length > 32.5 mm.

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Signs & symptoms

Pathological myopes may present with any of the following abnormal signs:
- Decreased visual acuity
- An unusually large exophoria
- Strabismus (typically exotropia)
- Open-angle glaucoma
- Premature lenticular opacification
- Increased axial length


Myopic degeneration can be diagnosed during a regular eye exam. During the exam, the eye doctor checks vision. Severe nearsightedness is one sign the doctor looks for. People with myopic degeneration also have retinal abnormalities that the doctor can see during the exam


There are different treatment options to consider to help improve vision quality and restore a patient's eyesight:
- Prescription Eyeglasses – Glasses with thick lenses can be helpful for restoring a person's vision.
- Contact Lenses – Rather than glasses, some patients may be able to wear prescription contacts to enhance their vision.
- Anti-VEGF Therapy – Anti-VEGF (vascular endothelial growth factor) therapy involves the use of medications that prevent the formation of new blood vessels in the retina, which can lead to macular degeneration.
- Intraocular Lenses (IOLs) – IOLs are artificial lenses that can replace the natural lenses of the eyes. This has been helpful for some degenerative myopia patients.
- Photodynamic Therapy (PDT) – PDT helps manage abnormal blood vessels of the retina that could be causing the loss of vision.
- Vitrectomy – Vitrectomy removes some or all of the vitreous gel within the eye in order to help repair tears or detachments of the retina.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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