Evaluating glaucoma in myopic eyes: Challenges and opportunities.
Publication Date: 2024 Dec 17
Full Text Sources
Authors
Anuwat Jiravarnsirikul; Akram Belghith; Jasmin Rezapour; Christopher Bowd; Sasan Moghimi; Jost B Jonas; Mark Christopher; Massimo A Fazio; Hongli Yang; Claude F Burgoyne; Robert N Weinreb; Linda M ZangwillAbstract
OBJECTIVE
The increasing global prevalence of myopia presents a significant public health concern, and growing evidence has demonstrated that myopia is a major risk factor for the development of open-angle glaucoma. Therefore, timely detection and management of glaucoma in myopic patients are crucial; however, identifying the structural alterations of glaucoma in the optic nerve head (ONH) and retinal tissues of myopic eyes using standard diagnostic tools such as fundus photography, optical coherence tomography (OCT), and OCT angiography (OCTA) presents challenges. Additionally, myopia-related perimetric defects can be confounded with glaucoma-related defects. We comprehensively examine the challenges encountered in evaluating glaucoma in myopic eyes through various diagnostic tools, including fundus photography, OCT of the ONH, retinal nerve fiber layer, and macular ganglion cell layer, OCTA, and perimetry. We also explore potential opportunities to address these challenges, providing insights for clinicians to effectively manage myopic glaucoma patients in clinical practice.
Source
Survey of ophthalmology
Pub Types(s)
Journal Article
Language
English
PubMed ID
39701308