Behandeling van complicaties bij Myopie

Behandeling van complicaties bij Myopie
Robert Kuijpers, ErasmusMC
1. Myope Maculadegeneratie: atrofie/choroidale neovascularisatie
2. Netvlies loslating
3. Cataract
4. Glaucoom
5. Myoop maculagat / foveoschisis
In a retrospective study, Yoshida et al also examined the effect of age on the natural
history of CNV secondary to pathological myopia.
They found that patients under the age of 40 had significant better visual outcome
than patients over the age of 40.
Their results need to be interpreted carefully, as they included both juxtafoveal and
subfoveal cases.
The authors nonetheless raised the important point that the visual prognosis of CNV
secondary to pathological myopia was not always consistent.
The incidence and rate of rhegmatogenous retinal detachment
seven years after cataract surgery in patients with high myopia
Michael A Williams,1 Stuart McGimpsey,1 Salwa Abugreen,2 Wing
Chan,1 James A Sharkey,1 Richard M Best,1 and Patrick B Johnston1
Posterior capsule opacification (PCO) requiring Nd-YAG
laser occurred in 37.6% (n = 32) of eyes in our study.
One would expect patients, individual clinicians and
ophthalmology centres to vary in their tolerance of PCO
and their readiness to intervene, and reported rates of
laser for PCO vary widely. Nd-YAG laser capsulotomy is
reported to increase the risk of RRD 3.9 fold21. The
incidence of RRD following Nd-YAG posterior
capsulotomy varies in the published data from 0 to
0.89% to 10% in highly myopic eyes2
21. Javitt JC, Tielsch JM, Canner JK, Kolb MM, Sommer
A, Steinberg EP. National outcomes of cataract
extraction. Increased risk of retinal complications
associated with Nd:YAG laser capsulotomy. The
Cataract Patient Outcomes Research Team.
Ophthalmol. 1992;99(10):1487–97. discussion 1497-8.
Left eye of a 51-year-old man with myopia (preoperative refractive error of -9.0 diopters and axial
length of 29.4 mm)
Chen, L. et al. Arch Ophthalmol 2010;128:1551-1554.
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The fight against myopia