High Myopic Peripapillary Atrophy; Spectral Domain Optical Coherence Tomography Features

Pathologic myopia is defined as myopic refractive error greater than ‐6.00 diopters (D).[1] Axial myopia progression results in stretching of ocular layers which may be imaged by optical coherence tomography (OCT). These findings consist of dehiscence of retinal layers, retinal cysts, intrachoroidal cavitation, macular holes, posterior retinal detachment and choroidal neovascular membranes.[2] Furthermore, it has been suggested that scleral protrusion temporal to the optic disc in highly myopic eyes could cause excessive tension on the retinal nerve fiber layer which may result in visual field defects.[3] A 72‐year‐old woman was referred to the ophthalmology clinic complaining of low vision in her left eye. Past medical history was unremarkable. Best corrected visual acuity of the left eye was 20/400. Anterior segment examination revealed normal intraocular pressure and mild nuclear cataracts in both eyes. Refractive error (spherical equivalent) in both eyes was ‐10.00D. Fundus examination and fluorescein angiography revealed submacular choroidal neovascular membrane in the left eye with severe bilateral chorioretinal and peripapillary High Myopic Peripapillary Atrophy; Spectral Domain Optical Coherence Tomography Features