Myopic maculopathy

Myopia (axial myopia) is defined by the amount of the axial length of the eye. A myopic eyeball is longer than the normal, and it requires an optical correction (measured dioptres) for far vision, in order to focus the image on the retina.

Myopic maculopathies

The more frequent myopic maculopathies are: macular retinoschisis, macular holes and choroidal neovescularization. They are the leading causes of drop in visual acuity in myopic patients. The loss visual drop caused by myopic maculopathies (more often the near vision) is often sometimes associated with the perception of distorted images.

Fluorescein angiography: presence of choroidal neovascularization in the center of the retina of a myopic eye
Fluorescein angiography: presence of choroidal neovascularization in the center of the retina of a myopic eye (arrow)

Clinical and therapeutic approach

Many advances have recently been made in the clinical and therapeutic approach of these diseases. Modern imaging exams (optical coherence tomography or OCT and digital angiography) can be used to detect retinal lesions in myopic patients and to make an early diagnosis. Photodynamic therapy (PDT) and intravitreal injections of anti-VEGF agents have shown their efficacy in myopic neovascularization. Soon, a more detailed understanding of the mechanisms leading to these complications may lay the foundations to new therapeutic perspectives.

On account of myopia representing a therapeutic challenge, the ophthalmology service directed by Pr Souied (the head of the department) arranges a consultation service precisely dedicated to myopic patient.