[A clinical analysis of high myopia with primary open-angle glaucoma].
OBJECTIVE
To approach the bases of early diagnosis of high myopia (HM) combined with primary open-angle glaucoma (POAG).


METHODS
(1) There were 3 groups of POAG: group A with HM (40 eyes of 21 cases), group B with medium myopia (40 eyes of 21 cases) and group C with low myopia (42 eyes of 21 cases). Their visual field defect, retinal nerve fiber layer defect (RNFLD), the maximum intraocular pressure and corrected visual acuity were compared. (2) The stereo-photos of the HM-POAG were observed directly, and their clinical characteristics were analyzed.


RESULTS
(1) On the initial visit, the patients of group A obviously suffered more serious visual field defects and RNFLD, and the corrected visual acuity was lower than that of the two other groups. (2) The specific fundus changes at the papilla and its surrounding retina of the HM patients interfered with the early detection of glaucoma. The dilatation of pupil to examine the fundus and the use of stereo-photos were the main measures to elevate the detectable rate of glaucoma.


CONCLUSIONS
Recognizing the early clinical characteristics of HM itself combined with that of POAG may help us to improve the proficiency of HM-POAG early detection.
Fu
Pei
P
Department of Ophthalmology, The First Hospital of Beijing University, Beijing 100034, China. peifu@963.net
Liu
Lina
L
Li
Meiyu
M
Yuan
You
Y
Cui
Yongri
Y
D000328:Adult; D005902:Glaucoma, Open-Angle / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D014792:Visual Acuity