On classification approaches, terminology and modern principles of treatment of pathologies associated with high myopia. Part 1. Criteria for high myopia and pathological myopia
V. V. Neroev,
O. V. Zaytseva,
E. P. Tarutta,
E. V. Bobykin,
M. A. Kovalevskaya,
R. R. Fayzrakhmanov,
P. A. Nechiporenko https://doi.org/10.21516/2072-0076-2023-16-1-supplement-7-14
Abstract
Myopic refraction is the most common ocular pathology, currently affecting about 1.5 billion people worldwide. Recent decades have seen a trend towards a significant increase in myopia prevalence, which is likely to continue in the near future. Therefore, we observe some kind of an epidemic of myopia. The greatest concern is caused by cases of uncorrectable visual impairment associated with myopia, which make pathological (degenerative) myopia one of the leading causes of low vision and blindness in many countries. At the same time, there is still no uniform interpretation of such important concepts as “high myopia” and “pathological myopia”, which can negatively affect various aspects of clinical and scientific interaction among ophthalmologists. The article provides an overview of modern work on the above issues and proposes definitions of terms to be used in the healthcare system of the Russian Federation
About the Authors
V. V. Neroev
Helmholtz National Medical Research Center of Eye Diseases; A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Vladimir V. Neroev — Academician of RAS, Dr. of Med. Sci., professor, director, head of eye diseases chair of the faculty of additional professional education
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
20, p.1, Delegatskaya St., Moscow, 127473
O. V. Zaytseva
Helmholtz National Medical Research Center of Eye Diseases; A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Ol'ga V. Zaytseva — Cand. of Med. Sci., deputy director, leading researcher of the department of retina and optic nerve pathology, assistant professor of the department of eye diseases of the faculty of additional professional education
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
20, p.1, Delegatskaya St., Moscow, 127473
E. P. Tarutta
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Elena P. Tarutta — Dr. of Med. Sci., professor, head of the department of refraction pathology, binocular vision and ophthalmoergonomics
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
E. V. Bobykin
Ural State Medical University
Russian Federation
Russian Federation
Evgeny V. Bobykin — Dr. of Med. Sci., assistant professor of the department of ophthalmology
3, Repin St., Yekaterinburg, 620028
M. A. Kovalevskaya
N.N. Burdenko Voronezh State Medical University
Russian Federation
Russian Federation
Maria A. Kovalevskaya — Dr. of Med. Sci., professor, head of ophthalmology chair
10, Studencheskaya St., Voronezh, 394036
R. R. Fayzrakhmanov
N.I. Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
Rinat R. Fayzrakhmanov — Dr. of Med Sci., professor, head of chair of ophthalmology
70, Nizhnyaya Pervomayskaya St., Moscow, 105203
P. A. Nechiporenko
Academician I.P. Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
Pavel A. Nechiporenko — Cand. of Med. Sci., assistant professor of the clinical ophthalmology department n. a. professor Y.S. Astkhov
6–8, Lev Tolstoy St., St. Petersburg, 197022
References
1. Миопия. Клинические рекомендации [Myopia. Clinical recommendations (in Russian)]. Available at: http://avo-portal.ru/doc/fkr/odobrennye-nps-iutverzhdennye-avo/item/257-miopiya
2. Curtin B.J. The myopias: Basic science and clinical management. Philadelphia (Pa.): Harper and Row; 1985.
3. Goss D.A., Eskridge J.B. Myopia. In: Amos J.F., eds. Diagnosis and management in vision care. Boston: Butterworths; 1987: 121–71.
4. Волков В.В. О вероятных механизмах миопизации глаза в школьные годы. Офтальмологический журнал. 1988; 43 (3): 129–32. [Volkov V.V. On the probable mechanisms of myopization of the eye during school years. Oftal'mologicheskij zhurnal. 1988; 43 (3): 129–32 (in Russian)].
5. Friedman N.J., Kaiser P.K. Essentials of ophthalmology. Philadelphia: Elsevier — Health Sciences Division; 2007.
6. Wright K.W., Spiegal P. Pediatric ophthalmology and strabismus. New York: Springer; 2003.
7. Тарутта Е.П. Осложненная близорукость. Вопросы патогенеза, клиники, лечения и профилактики. В кн.: Нероев В.В., ред. Избранные лекции по детской офтальмологии. М. : ГЭОТАР-Медиа; 2009 [Tarutta E.P. Complicated myopia. Issues of pathogenesis, clinic, treatment and prevention. In: Neroev V.V, eds. Selected lectures on pediatric ophthalmology. Moscow: GEOTAR-Media; 2009 (in Russian)].
8. Whitmore W. Congenital and developmental myopia. Eye. 1992; 6 (Pt 4): 361–5. https://doi.org/10.1038/eye.1992.74
9. Duke-Elder S. Ophthalmic optics and refraction. Vol. V. System of Ophthalmology. London: Henry Kimpton; 1970.
10. Morgan I., Rose K. How genetic is school myopia? Prog. Retin. Eye Res. 2005; 24 (1): 1–38. https://doi.org/10.1016/j.preteyeres.2004.06.004
11. Wong T.Y., Ferreira A., Hughes R., et al. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am. J. Ophthalmol. 2014; 157 (1): 9–25. e12. https://doi.org/10.1016/j.ajo.2013.08.010
12. Нероев В.В. Инвалидность по зрению в Российской Федерации. Доклад на XV Российском общенациональном офтальмологическом форуме. Москва; 2022. [Neroev V.V. Visual disability in the Russian Federation. Report at the XV Russian National Ophthalmological Forum. Moscow; 2022 (in Russian)]. Available at: http://avo-portal.ru/images/sobitia/dokladi/Doklad_ROOF_2022_Invalidnost_Korotkaya_versiya.pdf
13. Holden B.A., Fricke T.R., Wilson D.A., et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016; 123 (5): 1036–42. https://doi.org/10.1016/j.ophtha.2016.01.006
14. Williams K.M., Bertelsen G., Cumberland P., et al. Increasing prevalence of myopia in Europe and the impact of education. Ophthalmology. 2015; 122 (7): 1489–97. https://doi.org/10.1016/j.ophtha.2015.03.018
15. Аветисов Э.С. Близорукость. Москва: Медицина; 1986. [Avetisov E.S. Myopia. Moscow: Meditsina; 1986 (in Russian)].
16. Flitcroft D.I., He M., Jonas J.B., et al. IMI — defining and classifying myopia: A proposed set of standards for clinical and epidemiologic studies. Invest. Ophthalmol. Vis Sci. 2019; 60 (3): M20–30. https://doi.org/10.1167/iovs.18-25957
17. Ohno-Matsui K., eds. Atlas of pathologic myopia; 2020. https://doi.org/10.1007/978-981-15-4261-9_1
18. World Health Organization — Brien Holden Vision Institute. The impact of myopia. In: The impact of myopia and high myopia. Report of the Joint World Health Organization — Brien Holden Vision Institute Global Scientific Meeting on Myopia. Available at: https://www.visionuk.org.uk/download/WHO_Report_Myopia_2016.pdf.
19. Tideman J.W.L., Snabel M.C.C., Tedja M.S., et al. Association of axial length with risk of uncorrectable visual impairment for europeans with myopia. JAMA Ophthalmol. 2016; 134 (12): 1355–63. https://doi.org/10.1001/jamaophthalmol.2016.4009
20. Verhoeven V.J., Wong K.T., Buitendijk G.H., et al. Visual consequences of refractive errors in the general population. Ophthalmology. 2015; 122 (1): 101–9. https://doi.org/10.1016/j.ophtha.2014.07.030
21. Flitcroft D.I. The complex interactions of retinal, optical and environmental factors in myopia aetiology. Prog. Retin. Eye Res. 2012; 31 (6): 622–60. https://doi.org/10.1016/j.preteyeres.2012.06.004
22. Ohno-Matsui K., Kawasaki R., Jonas J.B., et al. International photographic classification and grading system for myopic maculopathy. Am. J. Ophthalmol. 2015; 159 (5): 877–83. e7. https://doi.org/10.1016/j.ajo.2015.01.022
23. Mariotti S., Kocur I., Resnikoff S., et al. The impact of myopia and high myopia. Report of the Joint World Health Organization — Brien Holden Vision Institute Global Scientific Meeting on Myopia; 2015.
24. Kim H.K., Kim S.S. Factors associated with axial length elongation in high myopia in adults. Int. J. Ophthalmol. 2021; 14 (8): 1231–6. https://doi.org/10.18240/ijo.2021.08.15
25. Frisina R., Gius I., Palmieri M., et al. Myopic traction maculopathy: diagnostic and management strategies. Clin. Ophthalmol. 2020; 14: 3699–708. https:// doi.org/10.2147/OPTH.S237483
26. Jonas J.B., Wang Y.X., Dong L., Guo Y., Panda-Jonas S. Advances in myopia research anatomical findings in highly myopic eyes. Eye and Vis. 2020; 7: 45. https://doi.org/10.1186/s40662-020-00210-6
27. Ruiz-Medrano J., Montero J.A., Flores-Moreno I., et al. Myopic maculopathy: Current status and proposal for a new classification and grading system (ATN). Prog. Retin. Eye Res. 2019; 69: 80–115. https://doi.org/10.1016/j.preteyeres.2018.10.005
28. Ward B., Tarutta E.P., Mayer M.J. The efficacy and safety of posterior pole buckles in the control of progressive high myopia. Eye (Lond). 2009; 23 (12): 2169–74. https://doi.org/10.1038/eye.2008.433
29. Wu P.C., Chuang M.N., Choi J., et al. Update in myopia and treatment strategy of atropine use in myopia control. Eye (Lond). 2019; 33 (1): 3–13. https://doi.org/10.1038/s41433-018-0139-7
30. When you have low myopia and high axial length. Available at: https://www.myopiaprofile.com/low-myopia-and-high-axial-length/
31. Mutti D.O., Mitchell G.L., Sinnott L.T., et al. Corneal and crystalline lens dimensions before and after myopia onset. Optom. Vis. Sci. 2012; 89 (3): 251–62. https://doi.org/10.1097/OPX.0b013e3182418213
32. Blanco F.G., Fernandez J.C., Sanz M.A. Axial length, corneal radius, and age of myopia onset. Optom. Vis Sci. 2008; 85 (2): 89–96. https://doi.org/10.1097/OPX.0b013e3181622602
33. Kearney S., Strang N.C., Cagnolati B., et al. Change in body height, axial length and refractive status over a four-year period in caucasian children and young adults. J. Optom. 2020; 13 (2): 128–36. https://doi.org/10.1016/j.optom.2019.12.008
34. Du R., Xie S., Igarashi-Yokoi T., et al. Continued increase of axial length and its risk factors in adults with high myopia. JAMA Ophthalmol. 2021; 139 (10): 1096–103. https://doi.org/10.1001/jamaophthalmol.2021.3303
35. EyeWiki, the Eye Encyclopedia. Myopic CNVM. Available at: https://eyewiki.org/Myopic_CNVM#cite_note-basic1-1
36. Flores-Moreno I., Puertas M., Almaz n-Alonso E., et al. Pathologic myopia and severe pathologic myopia: correlation with axial length. Graefes Arch. Clin. Exp. Ophthalmol. 2022; 260 (1): 133–40. https://doi.org/10.1007/s00417-021-05372-0
37. Vongphanit J., Mitchell P., Wang J.J. Prevalence and progression of myopic retinopathy in an older population. Ophthalmology. 2002; 109 (4): 704–11. https://doi.org/10.1016/s0161-6420(01)01024-7
38. Wang N.K., Wu Y.M., Wang J.P., et al. Clinical characteristics of posterior staphylomas in myopic eyes with axial length shorter than 26.5 millimeters. Am. J. Ophthalmol. 2016; 162: 180–90. e1. https://doi.org/10.1016/j.ajo.2015.11.016
39. Fang Y., Yokoi T., Nagaoka N., et al. Progression of myopic maculopathy during 18-year follow-up. Ophthalmology. 2018; 125 (6): 863–77. https://doi.org/10.1016/j.ophtha.2017.12.005
40. Hayashi K., Ohno-Matsui K., Shimada N., et al. Long-term pattern of progression of myopic maculopathy: a natural history study. Ophthalmology. 2010; 117 (8): 1595–611, 1611.e1-4. https://doi.org/10.1016/j.ophtha.2009.11.003
41. Нероев В.В., Зайцева О.В., Тарутта Е.П., Бобыкин Е.В., Ковалевская М.А., Файзрахманов Р.Р., Нечипоренко П.А. О классификационных подходах, терминологии и современных принципах лечения патологических изменений глаз, ассоциированных с близорукостью высокой степени. Часть 2. Терминология и подходы к классификации. Российский офтальмологический журнал. 2023; 16 (1 Приложение):15-22. [Neroev V.V., Zaytseva O.V., Tarutta E.P., Bobykin E.V., Kovalevskaya M.A., Fayzrakhmanov R.R., Nechiporenko P.A. On classification approaches, terminology and modern principles of treatment of pathologies associated with high myopia. Part 2. Terminology and approaches to classification. Russian ophthalmological journal. 2023; 16 (1 Supplement): 15-22 (In Russian)]. https://doi.org/10.21516/2072-0076-2023-16-1-supplement-15-22
42. Нероев В.В., Зайцева О.В., Тарутта Е.П., Бобыкин Е.В., Ковалевская М.А., Файзрахманов Р.Р., Нечипоренко П.А. Часть 3. Подходы к мониторингу и лечению пациентов. Российский офтальмологический журнал. 2023; 16 (1 Приложение): 23-39. [Neroev V.V., Zaytseva O.V., Tarutta E.P., Bobykin E.V., Kovalevskaya M.A., Fayzrakhmanov R.R., Nechiporenko P.A. On classification approaches, terminology and modern principles of treatment of pathologies associated with high myopia. Part 3. Approaches to monitoring and treatment of patients. Russian ophthalmological journal. 2023; 16 (1 Supplement): 23-39 (In Russian)]. https://doi.org/10.21516/2072-0076-2023-16-1-supplement-23-39
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Neroev V.V., Zaytseva O.V., Tarutta E.P., Bobykin E.V., Kovalevskaya M.A., Fayzrakhmanov R.R., Nechiporenko P.A. On classification approaches, terminology and modern principles of treatment of pathologies associated with high myopia. Part 1. Criteria for high myopia and pathological myopia. Russian Ophthalmological Journal. 2023;16(1):7-14. (In Russ.) https://doi.org/10.21516/2072-0076-2023-16-1-supplement-7-14
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