Optic neuropathy in high myopia: Glaucoma or high myopia or both?

IF 18.6 1区 医学 Q1 OPHTHALMOLOGY Progress in Retinal and Eye Research Pub Date : 2024-01-21 DOI:10.1016/j.preteyeres.2024.101246
Xiulan Zhang , Jingwen Jiang , Kangjie Kong , Fei Li , Shida Chen , Peiyuan Wang , Yunhe Song , Fengbin Lin , Timothy P.H. Lin , Linda M. Zangwill , Kyoko Ohno-Matsui , Jost B. Jonas , Robert N. Weinreb , Dennis S.C. Lam , Glaucoma Suspects with High Myopia Study Group
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Abstract

Due to the increasing prevalence of high myopia around the world, structural and functional damages to the optic nerve in high myopia has recently attracted much attention. Evidence has shown that high myopia is related to the development of glaucomatous or glaucoma-like optic neuropathy, and that both have many common features. These similarities often pose a diagnostic challenge that will affect the future management of glaucoma suspects in high myopia. In this review, we summarize similarities and differences in optic neuropathy arising from non-pathologic high myopia and glaucoma by considering their respective structural and functional characteristics on fundus photography, optical coherence tomography scanning, and visual field tests. These features may also help to distinguish the underlying mechanisms of the optic neuropathies and to determine management strategies for patients with high myopia and glaucoma.

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高度近视的视神经病变:青光眼还是高度近视,抑或两者兼而有之?
由于高度近视在全球的发病率越来越高,高度近视对视神经结构和功能造成的损害最近引起了广泛关注。有证据表明,高度近视与青光眼或青光眼样视神经病变的发生有关,两者有许多共同特征。这些相似之处往往给诊断带来挑战,并将影响未来对高度近视青光眼疑似患者的管理。在这篇综述中,我们总结了非病理性高度近视和青光眼引起的视神经病变的相同点和不同点,通过眼底摄影、光学相干断层扫描和视野测试来考虑它们各自的结构和功能特征。这些特征还有助于区分视神经病变的潜在机制,并确定高度近视和青光眼患者的治疗策略。
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来源期刊
CiteScore
34.10
自引率
5.10%
发文量
78
期刊介绍: Progress in Retinal and Eye Research is a Reviews-only journal. By invitation, leading experts write on basic and clinical aspects of the eye in a style appealing to molecular biologists, neuroscientists and physiologists, as well as to vision researchers and ophthalmologists. The journal covers all aspects of eye research, including topics pertaining to the retina and pigment epithelial layer, cornea, tears, lacrimal glands, aqueous humour, iris, ciliary body, trabeculum, lens, vitreous humour and diseases such as dry-eye, inflammation, keratoconus, corneal dystrophy, glaucoma and cataract.
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