Progression of Glaucoma in Highly Myopic Eyes with Paravascular Inner Retinal Defects
10.3341/jkos.2022.63.8.727
- Author:
Nala SHIN
1
;
Jeong Hwa SHIN
;
Young Hoon HWANG
Author Information
1. Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2022;63(8):727-734
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
