Myopic Maculopathy

What is Myopic Maculopathy?

Myopic maculopathy is a condition that affects the retina and macula, which are crucial for central vision, in people with high myopia (severe nearsightedness). This eye condition occurs due to excessive elongation of the eyeball, which stretches and thins the retina, leading to degenerative changes in the macula. This condition can impair vision and, in severe cases, lead to permanent vision loss if untreated.

Comparison_of_normal_vision_and_myopia_showing_eye_anatomy._The_normal_eye_focuses_light_directly_on_the_retina,_while_the_myopic_eye_focuses_light_in_front_of_the_retina,_causing_blurred_distance_vision.

Symptoms

How can you tell if you might have myopic maculopathy? Common symptoms include

Blurry or distorted central vision (metamorphopsia)

Difficulty reading or
recognizing faces

Dark or blank spots
in central vision
(scotomas)

Reduced ability to see fine details

Gradual or sudden worsening of vision

Who is at risk?

 

Severe nearsightedness
(greater than -6.00 diopters)


Age-related degeneration


Prolonged progression of myopia


Smoking and unhealthy lifestyle choices

What leads to myopic maculopathy?

High Myopia

Severe elongation of the eyeball stretches and thins the retina, leading to macular damage

Age

Older individuals with high myopia are more prone to degenerative changes

Genetics

A family history of high myopia or macular diseases
increases the risk

Environmental Factors

Extensive near work and lack of outdoor activities during childhood may contribute to high myopia

Prevention

How can you protect your eyes? Preventative measures include

Myopia Control

Use myopia control in younger individuals methods such as orthokeratology lenses, atropine eye drops, or specialized glasses

Healthy Lifestyle

● Maintain a balanced diet rich in eye-healthy nutrients (e.g., lutein, zeaxanthin, omega-3)
● Avoid prolonged screen use or near work; follow the 20-20-20 rule

Regular Eye Exams

Early detection of high myopia
can help prevent progression

UV Protection

Wear sunglasses to reduce UV-related damage to the retina

Treatment

What can be done to manage or treat myopic maculopathy?

Anti-VEGF Injections

These injections help reduce abnormal blood vessel growth and leakage

Photodynamic therapy (PDT)

● PDT involves injecting a light-sensitive drug (verteporfin) and activating it with laser light to seal leaking blood vessels.

● Vitrectomy may be considered if retinal detachment or macular holes occur

Vision Aids

Low vision aids and rehabilitation in cases of
severe vision loss

Close Monitoring

Regular follow-ups with an eye specialist to track changes in the
macula

Note: Early diagnosis and treatment can slow progression and reduce vision loss risk.