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Myopic macular degeneration
Retina & Vitreous
Key Points
- •Myopic macular degeneration is a leading cause of irreversible blindness in working-age adults, especially in East Asia
- •Lacquer cracks (Bruch's membrane breaks) are the precursor to myopic CNV - a key exam finding
- •Myopic CNV is type 2 (subretinal) and responds well to anti-VEGF therapy with fewer injections than AMD (median 2–4 in year 1)
- •Fuchs' spot is a pigmented macular scar representing end-stage involuted CNV - poor visual prognosis
- •The META-PM and ATN classification systems are used to grade severity of pathological myopia fundus changes
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17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations