Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.
Jpn J Ophthalmol. 2011 Jan;55(1):7-10. doi: 10.1007/s10384-010-0896-8. Epub 2011 Feb 18.
Four cases of congenital high myopia showing similar myopic fundus changes.
The clinical characteristics of four cases of congenital high myopia are presented, and the long-term course of one of these cases is described.
One patient had a history of preterm delivery; however, the remaining patients had no ocular or systemic abnormalities that could account for the congenital myopia. All of the cases showed similar fundus findings, including tilting of the optic disc, temporal conus, and tessellated fundus. A type II posterior staphyloma was found in three of the cases. All of the patients had best-corrected visual acuity (BCVA) ≥ 0.4. One patient was followed for 30 years (from 6 to 36 years of age), and during those 30 years, the posterior fundus showed only a slight enlargement of a myopic conus and slight increase of the tilting of the optic disc despite a 3.0-mm increase in the axial length, and final BCVA was 1.0 OU.
Long-term follow-up showed that the posterior fundus did not change radically and good vision as maintained in spite of a significant increase in the axial length.
四种表现出相似近视眼底改变的先天性高度近视病例。
介绍了四例先天性高度近视患者的临床特征，并描述了其中一例患者的长期病程。
一名患者有早产儿史；然而，其余患者没有可解释先天性近视的眼部或全身异常。所有病例均显示出相似的眼底发现，包括视盘倾斜、颞侧圆锥和棋盘格样眼底。三例患者发现 II 型后葡萄肿。所有患者最佳矫正视力（BCVA）≥0.4。一名患者随访 30 年（6 至 36 岁），在这 30 年中，尽管眼轴增加了 3.0mm，但后极眼底仅显示近视圆锥轻微扩大和视盘倾斜略有增加，最终 BCVA 为 1.0 眼。
长期随访显示，尽管眼轴显著增加，但后极眼底并未发生根本性变化，视力保持良好。
