Research status and progress on the influence of high myopia on ocular structure and visual function_Chinese Journal of Ocular Fundus Diseases

Authors：

Liu Shang ^1,2 , Xu Yupeng ^1,2 ,  Xu Xun ^1,2

1. Shanghai General Hospital, Shanghai Jiao Tong University School, National Eye Disease Clinical Medicine Research Center, Shanghai Key Laboratory of Ocular Fundus Disease, Shanghai Engineering Research Center for Ophthalmology and Optic Medicine, Shanghai Key Clinical Specialties, Shanghai 200080, China;
2. Shanghai Eye Disease Prevention and Treatment Center/Shanghai Eye Hospital, Shanghai Visual Health Center (Shanghai Children and Adolescent Myopia Prevention and Treatment Technology Center), Shanghai 201103, China;

Corresponding author：

Xu Xun, Email: drxuxun@sjtu.edu.cn

Keywords：

High myopia; Axial length; Visual function; Review

DOI：

10.3760/cma.j.cn511434-20211102-00624

Video：

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Abstract Full text Figures/Tables Video References Cited by

High myopia has a high genetic tendency, it not only shows in the excessive elongation of the axial length, but also lends to the formation and progression of various eye lesions, such as peripheral retinopathy, optic disc changes, posterior staphyloma, and myopic maculopathy, due to the mechanical stretching of the axial length to the ocular structure. In addition, high myopia increases the risk of several complications, such as glaucoma, cataract, and corneal disease. All these pathological changes will affect visual function and lead to irreversible vision impairment and blindness in the future. Therefore, it is important to pay attention to screening for optic disc abnormalities and posterior staphyloma, and regular monitor the changes of fundus, intraocular pressure, and lens. At the same time, high myopia has an impact on personal life such as study, psychology, sport, and work, and can reduce the quality of life as well as increase the cost of health care. The clinic should pay more attention to high myopia, prevent and control the development of high myopia from an early stage, in order to minimize its impact on ocular structure and visual function as well as its hazard to personal life and society.

Citation： Liu Shang, Xu Yupeng, Xu Xun. Research status and progress on the influence of high myopia on ocular structure and visual function. Chinese Journal of Ocular Fundus Diseases, 2023, 39(8): 690-695. doi: 10.3760/cma.j.cn511434-20211102-00624 Copy

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24. Zheng F, Wong CW, Sabanayagam C, et al. Prevalence, risk factors and impact of posterior staphyloma diagnosed from wide-field optical coherence tomography in Singapore adults with high myopia[J]. Acta Ophthalmol, 2020, 99(2): e144-e153. DOI: 10.1111/aos.14527.
25. Hsiang HW, Ohno-Matsui K, Shimada N, et al. Clinical characteristics of posterior staphyloma in eyes with pathologic myopia[J]. Am J Ophthalmol, 2008, 146(1): 102-110. DOI: 10.1016/j.ajo.2008.03.010.
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