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Xiamen Ophthalmology Department: High myopia can cause blindness and should be checked regularly

Posting time:2023-01-31 15:33:17

Xiamen Ophthalmology Department: High myopia can cause blindness and should be checked regularly

"Doctor, my mother's eyes can't see, and she can't open her left eye..." A few days ago, a worried mother and son rushed to Xiamen Eye Center from Putian and found Dr. Xie Renyi, the deputy chief physician of the Department of Strabismus and Pediatric Ophthalmology. Grandma Liu, who was sitting in front of Dr. Xie Renyi, had her left eyelid drooping and unable to open her eyes independently. When I opened my eyelids with my hands, I saw that the black eyeballs of both eyes were severely shifted inward and downward, and the black eyeball in the left eye socket was only a small black spot, which was almost "disappearing". "My eyes have been blurry for a long time, but I always thought it was because people were getting old and dim, so I didn't care." The 67-year-old grandma Liu can't remember when she became shortsighted, but later, she gradually discovered her eyes. Unconsciously, I became more and more "introverted", and I became less and less clear about things, and my ability to take care of myself was deeply affected. But what surprised her was that her eyes would deteriorate to the point of being completely invisible. Grandma Liu's left eyelid was drooping and drooping and could not open her eyes independently. Grandma Liu's eyes were esotropic and the black eyeball in the left eye almost "disappeared". After detailed examination by Dr. Xie Renyi and the cooperation of CT examination, Grandma Liu was diagnosed with high myopia and binocular double eye syndrome. and cataracts in both eyes. It is understood that "double eye syndrome" is a special type of acquired restrictive strabismus, which clinically manifests as progressive esotropia, limited upward and outward turning. This fixed esotropia caused by high myopia has a prevalence of 3%-8% in high myopia populations. Dr. Xie introduced that Grandma Liu's eyes were highly myopic and accompanied by varying degrees of strabismus. The axial length of the left eye is 34.6mm long, and the black eyeball “drills” into the inner and lower sides of the nose. Only a small black eyeball can be seen with the naked eye, and the outward and upward movement of the eyeball is limited, and the eyeball is blocked. "Fixed" stayed the same, and the strabismus was very serious. Dr. Xie further explained that the ptosis of Grandma Liu's left eye was caused by strabismus. At the same time, Dr. Xie found that although the strabismus in the right eye of Grandma Liu was not as serious as that in the left eye, the condition was still deteriorating, and the situation was not optimistic. "Surgery is the only feasible way, and the patient's eye condition will be more serious if it is delayed." After obtaining the consent of the patient and his family, Dr. Xie specially customized a surgical plan for Grandma Liu's eye disease. "Grandma Liu's eye condition is quite special. The traditional strabismus surgery method is not effective. In addition to improving the eye position, Yokoyama surgery can also improve the eye movement function." After perfecting the preoperative examination, Dr. Xie performed the surgery for Grandma Liu. The surgery of "Both eyes medial rectus retraction + YOKOYAMA" was successfully completed and the recovery was good. After the operation, Grandma Liu's binocular strabismus was significantly improved, the eye position was basically restored to the normal position, and the movement in all directions was not restricted, and the pseudoptosis was also improved. After the strabismus was improved, Grandma Liu underwent cataract surgery at the Xiamen Eye Center. After the operation, Grandma Liu's eyesight improved significantly and she regained her ability to take care of herself. After the operation, Grandma Liu's eyes were basically restored to the normal position, and the movement in all directions was not restricted. Dr. Xie said that compared with the general population and patients with mild to moderate myopia, patients with high myopia have longer eyeballs, thinner and more fragile eyeball walls, and greater stretch of the retina. High myopia can easily lead to pathological changes such as glaucoma, cataract, retinal detachment, and macular degeneration, and severe cases can lead to blindness. Therefore, Dr. Xie reminded that patients with high myopia should regularly go to professional hospitals to check their vision and fundus for early detection, early prevention and early treatment. Source: Xiamen Eye Center Editor: Lu Ping Li Ming Producer: Chen Yi

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