Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Oct 29;10(11):1260.
doi: 10.3390/bioengineering10111260.

Addressing Glaucoma in Myopic Eyes: Diagnostic and Surgical Challenges

Kateki Vinod  1 , Sarwat Salim  2
Affiliations
Review

Addressing Glaucoma in Myopic Eyes: Diagnostic and Surgical Challenges

Kateki Vinod et al. Bioengineering (Basel). .

Abstract

Epidemiological and genetic studies provide strong evidence supporting an association between myopia and glaucoma. The accurate detection of glaucoma in myopic eyes, especially those with high myopia, remains clinically challenging due to characteristic morphologic features of the myopic optic nerve in addition to limitations of current optic nerve imaging modalities. Distinguishing glaucoma from myopia is further complicated by overlapping perimetric findings. Therefore, longitudinal follow-up is essential to differentiate progressive structural and functional abnormalities indicative of glaucoma from defects that may result from myopia alone. Highly myopic eyes are at increased risk of complications from traditional incisional glaucoma surgery and may benefit from newer microinvasive glaucoma surgeries in select cases.

Keywords: cataract surgery; glaucoma; high myopia; myopia; optic disc; optical coherence tomography; perimetry.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
OCT RNFL demonstrating segmentation artifacts in a patient with high myopia, characteristic of “red disease”.
Figure 2
Figure 2
Optic disc photographs from a patient with high myopia demonstrating optic disc tilting and extensive peripapillary atrophy, making optic nerve assessment difficult.
Figure 3
Figure 3
Visual fields from a patient with high myopia demonstrating enlarged blind spots.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Morgan I.G., Ohno-Matsui K., Saw S.M. Myopia. Lancet. 2012;379:1739–1748. doi: 10.1016/S0140-6736(12)60272-4. - DOI - PubMed
    1. Holden B.A., Fricke T.R., Wilson D.A., Jong M., Naidoo K.S., Sankaidurg P., Wong T.Y., Naduvilath T.J., Resnikoff S. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016;123:1036–1042. doi: 10.1016/j.ophtha.2016.01.006. - DOI - PubMed
    1. Ha A., Kim C.Y., Shim S.R., Chang I.B., Kim Y.K. Degree of Myopia and Glaucoma Risk: A Dose-Response Meta-analysis. Am. J. Ophthalmol. 2022;236:107–119. doi: 10.1016/j.ajo.2021.10.007. - DOI - PubMed
    1. Mitchell P., Hourihan F., Sandbach J., Wang J.J. The relationship between glaucoma and myopia: The Blue Mountains Eye Study. Ophthalmology. 1999;106:2010–2015. doi: 10.1016/S0161-6420(99)90416-5. - DOI - PubMed
    1. Xu L., Wang Y., Wang S., Wang Y., Jonas J.B. High myopia and glaucoma susceptibility the Beijing Eye Study. Ophthalmology. 2007;114:216–220. doi: 10.1016/j.ophtha.2006.06.050. - DOI - PubMed

LinkOut - more resources