title: [Fundus changes evaluation in degenerative myopia].
abstract: OBJECTIVE
  To evaluate the presence of fundus changes in degenerative myopia.
  
  
  METHODS
  Forty patients with refractive error of at least -6.00 diopters were selected for ophthalmologic examination followed by posterior pole photograph and echobiometry.
  
  
  RESULTS
  We studied 57 eyes of 37 patients with refractive error ranging from -6.25 to -28.50 diopters, with mean -14.05, and axial length ranging from 26.06 to 32.86 mm, with mean 28.01. We found a temporal crescent in 36.5% and a peripapillary one in 20% of the eyes. Choroidal vessels were seen in 35% of the eyes. Posterior pole changes were as follow: posterior staphyloma in 10.5%, Fuchs' spots in 3.5% and lacquer cracks in 1.5%. Peripheral retinal examination revealed paving stone chorioretinal atrophy in 17.5%, white without pressure in 10.5%, lattice degeneration in 5%, retinal tears in 3.5% and retinoschisis in 1.5% of the examined eyes.
  
  
  CONCLUSIONS
  Fundus changes that lead to decreased vision are common in patients with degenerative myopia. Peripheral retinal examination is very important in these patients due to the increased risk of retinal detachment.
authors.affiliation: Departamento de Oftalmologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro (RJ), Brazil. dico@unisys.com.br
authors.forename: Oswaldo Ferreira Moura
authors.initials: OF
authors.lastname: Brasil
authors.forename: Maria Vitoria Oliveira Moura
authors.initials: MV
authors.lastname: Brasil
authors.forename: Ricardo Miguel
authors.initials: RM
authors.lastname: Japiassú
authors.forename: Ana Luiza
authors.initials: AL
authors.lastname: Biancardi
authors.forename: Débora Duarte de
authors.initials: DD
authors.lastname: Souza
authors.forename: Renato Corrêa de Souza
authors.initials: RC
authors.lastname: Oliveira
authors.forename: Haroldo Vieira de
authors.initials: HV
authors.lastname: Moraes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications / Q000473:pathology*; D011859:Radiography; D012160:Retina / Q000000981:diagnostic imaging; D012162:Retinal Degeneration / Q000209:etiology; D012163:Retinal Detachment / Q000209:etiology