Understanding the Risks of High Myopia

Author: Premier Eye Associates

Myopia, commonly known as nearsightedness, is a refractive condition in which the eye is either too long or too strong, causing light to focus in front of the retina rather than on it. While blurred vision in the distance is the most immediate issue associated with myopia, it's crucial to understand that there are additional risks that come with the condition, especially when myopia reaches high levels. This article will delve into these risks, focusing on degenerative myopia and its potential impact on ocular health.


Exploring Degenerative Myopia

As myopia increases in magnitude, it can lead to a condition known as degenerative myopia. Degenerative myopia refers to myopic changes that impact the eye in a pathological manner, potentially causing significant vision impairment and other complications. Let's take a closer look at some of the specific conditions associated with degenerative myopia.


  1. Myopic Maculopathy

One of the key risks of high myopia is the development of myopic maculopathy. This condition occurs when the macula, which is responsible for central vision, experiences damage due to the elongation and stretching of the eyeball. Myopic maculopathy can cause a range of visual issues, including blurred or distorted central vision, reduced color perception, and difficulty with tasks that require detailed vision, such as reading or recognizing faces. In severe cases, myopic maculopathy can even lead to legal blindness.


  1. Posterior Staphylomas

Posterior staphylomas are another consequence of degenerative myopia. These are localized bulges or deformities in the back of the eye that can occur as a result of the elongation and stretching of the eyeball. Staphylomas can lead to thinning of the tissue at the back of the eye, potentially causing further vision problems and complications.


  1. Increased Risk of Retinal Detachments

High myopia also comes with an increased risk of retinal detachments. The elongation of the eye can lead to retinal degeneration, making it more prone to detachment. Retinal detachment occurs when the retina, which is responsible for sensing light and transmitting images to the brain, pulls away from its normal position. This can result in severe visual impairment and potential blindness if not promptly treated.


  1. Lattice Degeneration

Lattice degeneration is another condition that can be associated with high myopia. It refers to thinning and weakening of the peripheral retina, forming a lattice-like pattern. This weakening can increase the risk of retinal tears or breaks, which, if not addressed, may progress to retinal detachment.

Addressing the Risks

Considering the potential risks associated with high myopia, it is essential to take proactive measures to address and manage the condition. Here are a few strategies that can help mitigate the risks:

Regular Eye Exams: Routine eye exams play a crucial role in the early detection and management of myopia. Regular visits to an eye care professional will allow for the monitoring of myopia progression and timely intervention to mitigate potential complications.

Lifestyle Modifications: Certain lifestyle modifications can potentially help slow down the progression of myopia in children. Encouraging outdoor activities, limiting screen time, and practicing good visual habits can be beneficial in managing myopia.

Corrective Measures: Utilizing appropriate vision correction methods such as glasses, contact lenses, or orthokeratology can help improve vision and reduce the strain on the eyes caused by myopia, thereby potentially reducing the risk of associated complications.

Medical Interventions: In specific cases, medical interventions such as pharmacologic agents or specialized contact lenses may be recommended to help manage and control myopia.


Dr. Anthony Spina and the staff of Premier Eye Associates specialize in glasses, soft contact lenses, hard contact lenses, and medical eye exams. Call our eye doctor in Auburn, AL today at (334) 539-5391 or schedule an appointment online if you are interested in learning more about myopia or nearsightedness. Our optometrist provides only the highest quality eye care services amongst eye doctors in the Auburn Alabama area.

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