Degenerative Myopia: Is It a Serious Eye Condition? - Ophthalmology

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Degenerative myopia


Hello Doctor: I recently had an eye examination and was diagnosed with myopia of -6.00 in my left eye and -7.50 in my right eye.
The fundus imaging of the macula and visual field tests showed no significant issues, except for a previous retinal tear in my left eye that was treated with laser.
However, I noticed that the primary diagnosis from the doctor included "degenerative myopia." I looked up the term in Chinese, which translates to "變性近視," but the doctor did not schedule a follow-up appointment.
Is this condition serious? Thank you for your response!

Yizhen, 30~39 year old female. Ask Date: 2020/03/27

Dr. Gao Pilin reply Ophthalmology


Hello Yizhen: Degenerative myopia refers to myopia that leads to certain retinal changes, such as peripheral thinning or the presence of holes.
If the holes have been treated with laser, then regular check-ups are sufficient.
If your doctor has not scheduled a follow-up appointment and there are no abnormalities, an annual examination is adequate.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek care at a medical facility when necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/03/27

More Info


Degenerative myopia, also known as pathological myopia, is a serious eye condition that can lead to significant vision problems over time. It is characterized by an elongation of the eyeball, which can result in various complications affecting the retina and other structures within the eye. In your case, with left eye myopia at -6.00 diopters and right eye at -7.50 diopters, it is understandable to have concerns, especially since your doctor noted degenerative myopia in your diagnosis.

The primary concern with degenerative myopia is that it can lead to complications such as retinal detachment, macular degeneration, and myopic choroidal neovascularization. These conditions can cause irreversible vision loss if not monitored and treated appropriately. However, it is important to note that not everyone with degenerative myopia will experience severe complications. The degree of risk often correlates with the severity of the myopia and the presence of other risk factors.

In your situation, since you have undergone thorough examinations, including retinal imaging and visual field tests, and your doctor did not find any immediate issues with your retina or other structures, it suggests that your condition is currently stable. The fact that your previous retinal tear was treated with laser therapy is also a positive sign, as it reduces the risk of further complications.

Regular follow-up appointments are crucial for managing degenerative myopia. While your doctor may not have scheduled a follow-up visit, it is generally recommended to have annual eye examinations to monitor any changes in your condition. During these visits, your eye care professional will assess the health of your retina and other ocular structures, ensuring that any potential issues are caught early.

It is also essential to be aware of any changes in your vision. Symptoms such as sudden changes in vision, flashes of light, or an increase in floaters should prompt immediate medical attention. These could be signs of retinal detachment or other serious complications associated with degenerative myopia.

In summary, while degenerative myopia can be a serious condition, your current stability and the absence of immediate complications are encouraging. Regular monitoring and maintaining open communication with your eye care provider are key to managing your eye health effectively. If you have any concerns or notice changes in your vision, do not hesitate to reach out to your eye doctor for further evaluation.

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