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Posters

Degenerative myopia. Does fundus related pathology threaten the optimal vision correction by refractive surgery?

Poster Details

First Author: D.Balatsoukas GREECE

Co Author(s):    E. Kanonidou   C. Skatharoudi   I. Zampros            0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

To investigate the influence on vision of degenerative myopia related lesions after the optical correction by refractive surgery. An interesting case report.

Setting:

Department of Ophthalmology, ''Hippokrateion'' General Hospital of Thessaloniki, Thessaloniki, Greece.

Methods:

Female patient 55 years old presented to the emergency department of our hospital with sudden visual loss of her left eye (LE). The patient underwent uneventful refractive surgery (Lasik) for the optical correction of degenerative myopia on 2010 and suffered from systemic hypertension under medication.

Results:

From the ophthalmological examination: BCVA RE:7/10, BCVA LE:hand movement perception. Dilated fundus examination revealed RE: myopic fundus with tilted disc and myopic macula and of the LE: myopic fundous with tilted disc/periapillary chorioretinal atrophy and subretinal (submacular) haemorrhage suggesting choroidal neovascularization due to myopia confirmed by OCT examination. The patient was treated with anti-VEGF factor (ranibizumab) and had 3 successive infusions. The patient responded to treatment with an improvement in her visual acuity (BCVA LE:8/10) 4 months later which was maintained until today (10 months later).

Conclusions:

In eyes with degenerative myopia fundus lesions and the risks related to them are present despite the fact of optical correction by refractive surgery. Patients must be aware prior to surgery about the importance of continuous monitoring of their ocular pathology after the optical vision correction by refractive surgery. The response to the anti-VEGF is impressive in cases of choroidal neovascularization due to myopia.

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