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Visual Field Damage in Myopic Glaucoma

  • Chapter
Myopia and Glaucoma

Abstract

This chapter summarizes findings on visual field damage in myopic glaucoma. Population-based studies have demonstrated that irrespective of myopic power, myopia is a risk factor for primary open angle glaucoma (POAG). Although it is relatively rare, otherwise normal myopic eyes, especially highly myopic eyes, may have a higher risk of glaucoma-like visual field (VF) damage in the superior temporal subfield. High myopia in otherwise normal eyes is also associated with a generalized diffuse reduction in VF sensitivity. In POAG, the strength of myopia is significantly and positively correlated with the extent of VF damage in the lower cecocentral subfield, although there is no such correlation in late-stage POAG with normal intraocular pressure (IOP). Although the exact mechanism of this phenomenon remains unknown, stronger myopia is correlated with less damage in the superior paracentral subfield in both normal- and elevated-IOP POAG with mild to moderate VF damage. Additionally, any degree of myopia is a risk factor for further progression of VF damage in eyes without ocular hypotensive treatment, and high myopia is a risk factor for further progression in both treated and untreated POAG eyes. On the other hand, stronger myopia is associated with a slower rate of progression in non-high-myopic eyes with ocular hypotensive therapy.

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Authors and Affiliations

  1. Kanto Central Hospital of the Mutual Aid Association of Public School Teachers, 6-25-1, Kamiyoga, Setagaya-ku, Tokyo, 158-8531, Japan

    Makoto Araie M.D., Ph.D.

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  1. Makoto Araie M.D., Ph.D.
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Correspondence to Makoto Araie M.D., Ph.D. .

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Editors and Affiliations

  1. Dept of Ophthalmology and Visual Science, Kanazawa University Graduate School of Medical Science, Kanazawa, Ishikawa, Japan

    Kazuhisa Sugiyama

  2. Dept of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, kyoto, Kyoto, Japan

    Nagahisa Yoshimura

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Araie, M. (2015). Visual Field Damage in Myopic Glaucoma. In: Sugiyama, K., Yoshimura, N. (eds) Myopia and Glaucoma. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55672-5_5

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  • DOI: https://doi.org/10.1007/978-4-431-55672-5_5

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55671-8

  • Online ISBN: 978-4-431-55672-5

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