Myopia and glaucoma

  • E. L. Greve
  • F. Furuno


2, 528 visual fields of patients with glaucoma were examined. All atypical nerve fibre bundle defects (NFBD) were selected and all myopes. Myopic defects are a) enlargement of the blind spot, occurring in 18% to 30% of the myopic eyes depending in the degree of myopia, b) supertemporal refraction defect (2–6%) and c) irregular defects due to myopic choroidal dystrophy. Atypical NFBD were found in only a few non-myopes but in a large number of myopes.

Temporal NFBD occurred in 16% and cecocentral NFBD in 9 to 18% of myopic glaucoma (MG).

It is difficult to predict the existence of an atypical defect from optic dise evaluation.


Public Health Visual Field Glaucoma Refraction Nerve Fibre 
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2528 Gesichtsfelder von Glaukompatienten wurden überprüft. Dabei wurden alle atypischen Nervenfaserbündel-Defekte (NFBD) und alle Fälle von Myopie ausgewählt. Myopische Defekte sind: a) Vergrößerung des blinden Flecks (mit einer Häufigkeit von 18–30%, vom Myopiegrad abhängig, b) superiotemporale Refraktionsskotome (2–6%) and c) irreguläre Ausfälle infolge myopischer chorioidaler Dystrophie. Atypische NFBD fanden sich nur bei wenigen Nicht-Kurzsichtigen, aber bei vielen Myopen. Temporale NFBD ergaben sich in 16% und zentrozoekale NFBD in 9 bis 18% bei Myopieglaukom.

Es ist schwierig, allein aus der Papillenbewertung abzulesen, ob ein atypischer NFBD vorliegt.


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  1. 1.
    Black, R.K., Jay, B.: The glaucomatous dise in degenerative myopia. Trans. Ophthal. Soc. U.K.85, 161 (1965)Google Scholar
  2. 2.
    Brais, P., Drance, S.M.: The temporal field in chronic simple glaucoma. Arch. Ophthal.88, 518 (1972)PubMedGoogle Scholar
  3. 3.
    Brown, C.E.: The problem of myopia: The practioner. The practitioner.209, 5 (1972)PubMedGoogle Scholar
  4. 4.
    Drance, S.M.: A screening method for temporal visual defects in chronic simple glaucoma. Canad. J. Ophthal.7, 428 (1972)PubMedGoogle Scholar
  5. 5.
    Duke-Elder, S: System of ophthalmology. Vol. V & XI 1963). H. Kimpton, LondonGoogle Scholar
  6. 6.
    Gala: cited by Duke-Elder in system of Ophthalmology. Vol. XI. London: Kimpton 1930Google Scholar
  7. 7.
    Goldman, H.: In Entwicklung und Fortschritt in der Augenheilkunde. 361 Stuttgart: Enk, 1936Google Scholar
  8. 8.
    Goldman, H.: Biomicroscopie du corps vitre et du fond de L'Oeil. 358 Paris: Masson, 1957Google Scholar
  9. 9.
    Goldsmith, E.: On the etiology of myopia; an epidemiological study. Acta Ophthal. (Kbh)46, suppl. 98, p. 1 (1968)Google Scholar
  10. 10.
    Graham, M.V., Wakefield, G.J.: Bitemporal visual field defects associated with anomalies of the optic disc. Brit. J. Ophthal.57, 307 (1973)PubMedGoogle Scholar
  11. 11.
    Greve, E.L.: Single and multiple stimulus static perimetry in Glaucoma; The two phases of visual field examination. Docum. Ophthal.36, 1–355 (1973)PubMedGoogle Scholar
  12. 12.
    Greve, E.L., Verduin, W.M.: Detection of glaucomatous damage. Part I. Visual field examination. (Presented in the 2nd Int. Visual Field Symp. Tübingen 1976). Docum. Ophthal. Proc. Series14, 103 (1977)Google Scholar
  13. 13.
    Harrington, D.O.: The visual fields: a textbook and atlas of clinical perimetry III ed. (1971). St. Louis: C.V. Mosby 1971Google Scholar
  14. 14.
    Jayle, G.E.: Périmétrie du grand myope. Ann. Oculist (Paris)188, 431 (1955)Google Scholar
  15. 15.
    Keerl, G.: Ein Beitrag zum atypischen Glukomgesichtsfeld. Klin. Mbl. Augenheilk.131, 505 (1957)PubMedGoogle Scholar
  16. 16.
    Kurz, O.: On visual field defects in glaucoma not usually noticed. Acta Med. orient16, 139 (1957)PubMedGoogle Scholar
  17. 17.
    Lange: Cited by Duke-Elder in System of Ophthalmology. vol XI London: Kimpton 1896Google Scholar
  18. 18.
    Lehrfeld, L., Reber, J.: Glaucoma at the Wills Hospital. Arch. Ophthal.18, 712 (1937)Google Scholar
  19. 19.
    Leighton, D.A.: Ocular tension and axial length of the eyeball in open-angle glaucoma and low tension glaucoma. Brit. J. Ophthal.57, 499 (1973)PubMedGoogle Scholar
  20. 20.
    Manor, R.S.: Temporal field defects due to nasal tilting of discs. Ophthalmologica168, 269 (1974)PubMedCrossRefGoogle Scholar
  21. 21.
    Möller, H.U.: Excessive myopia and glaucoma. Acta Ophthal.26, 185 (1948)PubMedGoogle Scholar
  22. 22.
    Odland, M.: Bitemporal defects of the visual fields due to anomalies of the optic dises. Acta Neurol. Scandinav.43, 630 (1967)CrossRefGoogle Scholar
  23. 23.
    Podos, S.M., Becker, B., Ross Morton, W.: High myopia and primary open-angle glaucoma. Amer. J. Ophthal.62, 1039 (1966)Google Scholar
  24. 24.
    Posner, A., Schlossman, A.: Development of changes in visual fields associated with glaucoma. Arch. Ophthal39, 623 (1949)Google Scholar
  25. 25.
    Riise, D.: Visual field defects in optic disc malformation with ectasia of the fundus. Acta Ophthal. (Kbh)44, 906 (1966)CrossRefGoogle Scholar
  26. 26.
    Rucker, C.W.: Bitemporal defect in the visual fields resulting from developmental anomalies of the optic disc. Arch. Ophthal.35, 546 (1946)Google Scholar
  27. 27.
    Schlossman, A.: Myopia with Glaucoma. Contact Intra-Oc. Lens. Med. J.1, 84 (1975)Google Scholar
  28. 28.
    Scott, G.H.: Traquair's clinical perimetry. 7th. ed. London: Kimpton 1957Google Scholar
  29. 29.
    Tomlinson, A.: Applanation tension and axial length of the eyeball. Brit. J. Opththal.54, 548 (1970)Google Scholar

Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • E. L. Greve
    • 1
  • F. Furuno
    • 2
  1. 1.Wilhelmina GasthuisEye Clinic of the University of AmsterdamAmsterdamThe Netherlands
  2. 2.Department of OphthalmologyTokyo Medical College HospitalTokyoJapan

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