Differential diagnostic signs of glaucoma in patients with high myopia
https://doi.org/10.25700/NJG.2020.04.08
Abstract
Clinical and population-based studies have shown that moderate and high myopia is associated with an increased risk of primary open-angle glaucoma (POAG), normal pressure glaucoma, and ophthalmic hypertension. The combination of these eye pathologies amplifies the risk of decreased vision and can lead to blindness. In eyes with myopia, false overdiagnosis or underdiagnosis are common when specific differences between glaucoma and myopic changes are not taken into account. Therefore, it is necessary to develop standards for the diagnosis and monitoring of the glaucoma process in patients with axial myopia, especially considering that the diversity of data, as well as the inconsistency of ideas about the typical signs of glaucoma in patients with myopia, make it difficult to diagnose, and can result in late detection and decrease in the effectiveness of observation of this group of patients. This review analyzes the results of various diagnostic methods for glaucoma in patients with axial myopia, and pays special attention to functional and anatomical changes in axial myopia and glaucoma.
About the Authors
O. G. Zvereva
Adamyuk Republican Clinical Ophthalmological Hospital;
Kazan State Medical Academy — branch of Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Head of Glaucoma Cabinet, teaching assistant
14 Butlerova st., Каzan, 420012,
36 Butlerova st., Kazan, 420012
E. A. Lyakhova
Adamyuk Republican Clinical Ophthalmological Hospital
Russian Federation
Russian Federation
Ophthalmologist
36 Butlerova st., Kazan, 420012
A. V. Seleznev
Ivanovo State Medical Academy
Russian Federation
Russian Federation
Ph.D., Associate Professor, Otorhinolaryngology and Ophthalmology Department
8 Sheremetevsky prosp., Ivanovo, 153012
I. R. Gazizova
Institute of Experimental Medicine
Russian Federation
Russian Federation
12 Akademika Pavlova st., St. Petersburg, 197376
A. Yu. Brezhnev
Kursk State Medical University, Department of Ophthalmology
Russian Federation
Russian Federation
Ph.D., Associate Professor of Ophthalmology Department
3 K. Marksa st., Kursk, 305041
A. V. Kuroyedov
Mandryka Central Military Clinical Hospital;
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Med.Sc.D., Professor, Head of Ophthalmology Department, Head of Ophthalmology Ward
8A Bolshaya Olenya st., Moscow, 107014,
1 Ostrovityanova st., Moscow, 1179972
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Review
For citations:
Zvereva O.G., Lyakhova E.A., Seleznev A.V., Gazizova I.R., Brezhnev A.Yu., Kuroyedov A.V. Differential diagnostic signs of glaucoma in patients with high myopia. National Journal glaucoma. 2020;19(4):64-72. (In Russ.) https://doi.org/10.25700/NJG.2020.04.08
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