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Choroidal neovascularisation in pathological myopia: an update in management

¹ Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong, People’s Republic of China
² Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, People’s Republic of China
³ Department of Ophthalmology, Osaka University Medical School, Osaka, Japan

Correspondence to:
Correspondence to:
Professor Wai-Man Chan
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 3/F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong; cwm6373{at}netvigator.com

Choroidal neovascularisation (CNV) secondary to pathological myopia is an important cause of significant visual impairment in young and middle aged adults globally and is particularly prevalent in Asian populations. In the past few years, there have been rapid advancements in the different treatments for myopic CNV. The purpose of this perspective is to give an overview of the natural history of myopic CNV and the various treatment options including laser photocoagulation, photodynamic therapy, submacular surgery, and macular translocation surgery. Future directions in the management of myopic CNV are also discussed.

Abbreviations: AMD, age related macular degeneration; CNV, choroidal neovascularisation; FA, fluorescein angiography; ICG-A, indocyanine green angiography; LMT, limited macular translocation; MfERG, multifocal electroretinogram; OCT, optical coherence tomography; RPE, retinal pigment epithelium; VA, visual acuity; VEGF, vascular endothelial growth factor

Keywords: myopia; choroidal neovascularisation; photodynamic therapy; surgery; macular translocation

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