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Abstract #3510 Published in IGR 4-2
A clinical analysis of high myopia with primary open-angle glaucoma
Fu P; Liu L; Li M; Yuan Y; Cui YChinese Journal of Ophthalmology 2002; 38: 480
OBJECTIVE: To approach the basis of the early diagnosis of high myopia combined with primary open-angle glaucoma (POAG). METHODS: There were three groups of POAG PATIENTS: group A with high myopia (40 eyes of 21 cases), group B with medium myopia (40 eyes of 21 cases), and group C with low myopia (42 eyes of 21 cases). Visual field defect, retinal nerve fiber layer defect (RNFLD), maximum intraocular pressure, and corrected visual acuity were compared. The stereo-photos of high myopia-POAG cases were observed directly, and their clinical characteristics analyzed. RESULTS: On the initial visits, the group A patients were obviously suffering from more serious visual field defects and RNFLD, and their corrected visual acuity was lower than that of the other two groups. The specific fundus changes at the papilla and surrounding retina of the high myopia patients interfered with the early detection of glaucoma. Dilatation of the pupil to examine the fundus and the use of stereo-photos were the main measures for elevating the detectable rate of glaucoma. CONCLUSIONS: Recognizing the early clinical characteristics of high myopia itself combined with those of POAG may help to improve the proficiency of the early detection of high myopia-POAG. LA: Chinese
Dr. P. Fu, Department of Ophthalmology, The First Hospital of Beijing University, Beijing 100034, China. peifu@963.net
Classification:
8.1 Myopia (Part of: 8 Refractive errors in relation to glaucoma)
