The incidence of myopia is high in China. The proportion of high myopia is also high in the myopic population. High myopia is associated with multiple fundus changes, among which the neuropathic damage is usually ignored, and thus there has been limited clinical research on the pathogenesis, standard follow-up and effective treatment of optic neuropathy in high myopia. This article focuses on the types of high myopia-associated neuropathic changes, the quantitive imaging of neuropathic damage, and the need of relevant cohort studies and pathogenesis research, aiming to attract more attention to optic neuropathic changes in high myopia.
我国是近视眼大国，且高度近视眼的占比较高。高度近视眼可导致多种眼底改变，而其中高度近视眼相关性视神经改变常被眼科医师忽视，导致临床缺乏相关的深入研究，对其发生机制的认识不足，缺少规范、有效的诊疗方法。本文围绕需要关注的高度近视眼相关性视神经改变、视神经改变规范化定量问题以及需要开展的相关队列研究和基础研究等展开讨论，以强调眼科医师应高度重视高度近视相关性视神经改变。.