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Complications of Pathologic Myopia

Cho, Bum-Joo M.D.; Shin, Joo Young M.D.; Yu, Hyeong Gon M.D., Ph.D.

Eye & Contact Lens: Science & Clinical Practice: January 2016 - Volume 42 - Issue 1 - p 9–15
doi: 10.1097/ICL.0000000000000223
Review Article

Abstract: Pathologic myopia (PM) is one of the leading causes of visual impairment worldwide. The pathophysiology of PM is not fully understood, but the axial elongation of the eye followed by chorioretinal thinning is suggested as a key mechanism. Pathologic myopia may lead to many complications such as chorioretinal atrophy, foveoschisis, choroidal neovascularization, rhegmatogenous retinal detachment, cataract, and glaucoma. Some complications affect visual acuity significantly, showing poor visual prognosis. This article aims to review the types, pathophysiology, treatment, and visual outcome of the complications of PM.

Department of Ophthalmology (B.-J.C., J.Y.S., H.G.Y.), Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Ophthalmology (B.-J.C.), Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Gangwon-do, Republic of Korea; and Department of Ophthalmology (J.Y.S.), Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of Korea.

Address correspondence to Hyeong Gon Yu, M.D., Ph.D., Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea; e-mail:

The authors have no funding or conflicts of interest to disclose.

Accepted October 20, 2015

© 2016 Contact Lens Association of Ophthalmologists, Inc.