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KMID : 0360220220630080727
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Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 8 p.727 ~ p.734
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Progression of Glaucoma in Highly Myopic Eyes with Paravascular Inner Retinal Defects
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Shin Na-La
Shin Jeong-Wha
Hwang Young-Hoon
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Abstract
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Purpose: To report a case of glaucoma progression in highly myopic eyes with paravascular inner retinal defects.
Case summary: Retinal nerve fiber layer (RNFL) defects with cleavage-like irregular margins and internal areas were found around the retinal vessels in highly myopic eyes of a 17-year-old female. On suspicion of paravascular inner retinal defect (PIRD) instead of glaucomatous RNFL defect, observation without treatment was recommended. After 10 years of follow-up, RNFL defects and neuroretinal rim thinning were found around the pre-existing PIRD on fundus photographs. Optical coherence tomography also revealed decreased RNFL thickness.
Conclusions: Glaucomatous changes progressed around the pre-existing PIRD area over the 10-year follow-up. This indicates the need for caution when assessing glaucoma in highly myopic eyes with PIRD.
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KEYWORD
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Glaucoma, Myopia, Retinal nerve fiber layer
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