Myopia differential diagnosis

Katarzyna Perz-Juszczyszyn
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Abstract

Due to the prevalence and the possibility of myopia progression, myopia is currently of particular interest to many specialists in both the field of optometry and ophthalmology. In the initial diagnosis of the patient, it is important to determine whether the refractive error is isolated or if it coexists with other eye disorders/diseases or general health problems. This refractive error can be divided into axial and refractive myopia. In the latter case, the change in refraction may result from too great curvature of the cornea in relation to the length of the eyeball, or an increase in the optical curvatures other than the anterior surface of the cornea, or an increase in the refractive index of at least one of the optical structures, or a shallower anterior chamber of the eye. It is also worth distinguishing myopia associated with complex syndromes. Uncorrected myopia can significantly hinder daily functioning. It is therefore important to detect it as early as possible, correct it properly.
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近视鉴别诊断
由于近视的普遍性和发展的可能性,近视目前是许多验光和眼科专家特别感兴趣的问题。在对患者的初步诊断中,重要的是要确定屈光不正是孤立的,还是与其他眼疾/疾病或一般健康问题共存。这种屈光不正可分为轴性近视和屈光性近视。在后一种情况下,折射的变化可能是由于角膜的曲率相对于眼球的长度太大,或角膜前表面以外的光学曲率增加,或至少一个光学结构的折射率增加,或眼睛的前房较浅。与复杂综合征相关的近视也值得区分。未矫正近视会严重妨碍日常活动。因此,尽早发现并适当纠正是很重要的。
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