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Myopic Choroidal Neovascularization: Diagnosis and Treatment Update

  • Retina (R Goldhardt, Section Editor)
  • Published:
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Abstract

Purpose of Review

To review the diagnosis and treatment of myopic choroidal neovascularization. Imaging tests currently available and the advantages of each modality for detecting choroidal neovascularization signs are discussed. The management options and the outcomes of different treatment options are also reviewed.

Recent Findings

Anti-vascular endothelial growth factor has become the preferable choice of treatment in myopic choroidal neovascularization cases with improved results. The benefits of a single injection followed by PRN dosing were supported by randomized clinical trials.

Summary

Choroidal neovascularization is a common vision threatening complication in patients with pathologic myopia. Most of the patients with this condition are younger than 50 years, and the major concern is to have vision preserved later in life. The investigation of myopic choroidal neovascularization imposes additional tests to be performed in most cases. Anti-vascular endothelial growth therapy has demonstrated superior efficacy over other treatment modalities. However, further studies are required for investigation of the risk factors for recurrences and the long-term treatment strategies.

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Acknowledgements

The editors thank Dr. André Freitas for lending his expertise and reviewing this manuscript.

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Authors and Affiliations

  1. Department of Ophthalmology St. Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, UK

    Mariana R. Thorell

  2. Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, USA

    Raquel Goldhardt

  3. Miami Veterans Administration Medical Center, Miami, USA

    Raquel Goldhardt

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  1. Mariana R. Thorell
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Correspondence to Mariana R. Thorell.

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Supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Clinical Sciences Research EPID-006-15S, NIH Center Core Grant P30EY014801, and Research to Prevent Blindness Unrestricted Grant.

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Thorell, M.R., Goldhardt, R. Myopic Choroidal Neovascularization: Diagnosis and Treatment Update. Curr Ophthalmol Rep 7, 59–65 (2019). https://doi.org/10.1007/s40135-019-00200-5

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