Pathologic Myopia

Pathologic Myopia is a major cause of severe vision loss worldwide. The mechanisms for vision loss include cataract, glaucoma, retinal detachment, and above all, myopic maculopathy within the posterior staphyloma. The first edition of Pathologic Myopia is one of the only current books to specifically address this disease and discusses recent developments in imaging technologies and various approaches to treatments, such as laser photocoagulation, photodynamic therapy, pharmaco-therapeutic injections in the vitreous, and surgery. This new edition is a timely update to the standard reference in the field, with new chapters on advanced refractive error correction, genetics, developing a classification system, and special surgical approaches for pathologic myopia. Complete with even more high-quality color images and informative tables, this book is written and edited by leaders in the field and is geared towards ophthalmologists, including residents and fellows in training, glaucoma and cataract specialists, and vitreoretinal macula experts.

This Atlas provides many beautiful images obtained with state-of-the-art technologies, including optical coherence tomography (OCT), OCT angiography, fundus autofluorescence, and wide-field fundus imaging, as well as traditional images and fluorescein/ICG angiograms. Gathered at the world’s largest High Myopia Clinic, the images are based on the long-term follow-up data of more than 6,000 patients from Japan and abroad. Recent advances in imaging technologies have yielded many new observations and allowed us to detect new lesions, e.g. myopic traction maculopathy (or macular retinoschisis) and dome-shaped macula. An especially interesting aspect: the images obtained by ‘3D MRI of the eye’ and ‘ultra wide-field OCT’ to visualize staphylomas. These techniques were established by the editor’s group and make it possible to record the entire shapes of the eye, offering a scan width of up to 23 mm and scan depth of 5 mm. They have since been used to visualize posterior staphyloma, which was previously impossible to view because it spanned such a wide range of the eye. In addition, readers will learn what types of eye deformity occur in pathologic myopia and how they damage the macula/optic nerve. With this Atlas, readers will learn how to accurately diagnose each lesion of pathologic myopia, how eye deformity causes blinding complications, and how to identify patients with a poor prognosis. In short, it provides essential information that can’t be found elsewhere.

Pathological Myopia is a major cause of severe vision loss worldwide. The mechanisms for vision loss include cataract, glaucoma, retinal detachment, and above all, degeneration of the macula within the posterior staphyloma. Pathological Myopia is one of the only current books to specifically address this disease and discusses recent developments in imaging technologies and various approaches to treatments, such as laser photocoagulation, photodynamic therapy, pharmaco-therapeutic injections in the vitreous, and surgery. Complete with high-quality color images, this book is written and edited by leaders in the field and is geared towards ophthalmologists, including residents and fellows in training, glaucoma and cataract specialists, and vitreoretinal macula experts.

Pathologic myopia that is due to axial elongation causes thinning of the retina and choroid, especially in cases of posterior staphyloma. The result of this myopia is the development of various kinds of chorioretinal atrophy in the posterior pole, with a gradual progression of the atrophic changes extending over several decades. Until now, studies of atrophic lesions and their clinical course have been incomplete, and diagnostic standards and classification of chorioretinopathy have been unclear. The Atlas of Posterior Fundus Changes in Pathologic Myopia discusses these and other important questions on the basis of long-term observation and research. A major feature of the book is the presentation of many case studies, with generous use of full-color photographs to show in detail the course of fundus changes. The atlas is valuable resource not only for ophthalmologists interested in myopia but for optometrists, opticians, and medical students.

This book is open access under a CC BY 4.0 license. This open access book discusses basic clinical concepts of myopia, prevention of progression and surgical treatments for myopia and pathological myopia. It also summarises the latest evidence and best practices for managing myopia, high myopia and its complications. Written by leading experts, the book addresses clinical diagnosis and interpretation of imaging modalities, and various complications of myopia such as glaucoma, choroidal neovascularization, retinal degeneration and cataracts. It is a valuable comprehensive resource for general and sub-specialist ophthalmologists as well as residents and ophthalmologists in training.; This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.

This book serves as an introductory reference on clinical aspects of glaucoma and myopia, providing essential guidelines for diagnosis and monitoring of glaucoma progression in patients, especially those with high myopias. Many clinical studies are presented by leading experts in the field in an accessible style, making the content suitable not only for ophthalmologists but also for optometrists and certified orthoptists as well as for students. The relation between myopia and glaucoma has been the subject of many clinical trials and population-based studies. Most of the data has suggested that moderate to high myopia is associated with increased risk of primary open-angle glaucoma, normal tension glaucoma, and ocular hypertension. There are several factors involved in the diagnosis of glaucoma, but it is often difficult to determine the presence of glaucoma in myopic eyes. A myopic eye, especially in cases of moderate to high myopia, tends to have a thin retina and choroid and to appear thinner than normal. Even with new imaging technologies with improved sensitivity and specificity for detecting glaucoma, each technology presents some challenges when assessing myopic eyes. This book furnishes an overview of these diagnostic challenges with reference to the growing prevalence and severity of myopia in various parts of the world, providing many valuable hands-on reports and clinical studies by authoritative authors. This knowledge will help to do away with the vague area between high myopia and glaucoma faced by clinicians.

This book is open access under a CC BY 4.0 license. This open access book discusses basic clinical concepts of myopia, prevention of progression and surgical treatments for myopia and pathological myopia. It also summarises the latest evidence and best practices for managing myopia, high myopia and its complications. Written by leading experts, the book addresses clinical diagnosis and interpretation of imaging modalities, and various complications of myopia such as glaucoma, choroidal neovascularization, retinal degeneration and cataracts. It is a valuable comprehensive resource for general and sub-specialist ophthalmologists as well as residents and ophthalmologists in training.