Addressing Glaucoma in Myopic Eyes: Diagnostic and Surgical Challenges

Kateki Vinod, Sarwat Salim

Research output: Contribution to journalReview articlepeer-review


Epidemiological and genetic studies provide strong evidence supporting an association between myopia and glaucoma. The accurate detection of glaucoma in myopic eyes, especially those with high myopia, remains clinically challenging due to characteristic morphologic features of the myopic optic nerve in addition to limitations of current optic nerve imaging modalities. Distinguishing glaucoma from myopia is further complicated by overlapping perimetric findings. Therefore, longitudinal follow-up is essential to differentiate progressive structural and functional abnormalities indicative of glaucoma from defects that may result from myopia alone. Highly myopic eyes are at increased risk of complications from traditional incisional glaucoma surgery and may benefit from newer microinvasive glaucoma surgeries in select cases.

Original languageEnglish
Article number1260
Issue number11
StatePublished - Nov 2023


  • cataract surgery
  • glaucoma
  • high myopia
  • myopia
  • optic disc
  • optical coherence tomography
  • perimetry


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