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Published on: April 3, 2016
Pathogenesis and Prevention of Worsening Axial Elongation in Pathological Myopia
Sangeethabalasri Pugazhendhi1, Balamurali Ambati2, Allan A Hunter3
1PSG Institute of Medical Sciences & Research, Coimbatore, India.
Insights
Pediatric myopia is a growing concern. Understanding genetic and environmental factors is key to slowing its progression and preventing future eye diseases through emerging treatments.
Area of Science:
- Ophthalmology
- Genetics
- Public Health
Background:
- Pediatric myopia is a global public health issue.
- It is linked to serious future ocular conditions like cataracts and retinal detachment.
- The precise causes of myopia are still being researched, but genetics and environment play roles.
Purpose of the Study:
- To review the causes and development of myopia.
- To discuss methods for preventing myopia progression and axial elongation.
- To explore new treatment options for myopia.
Main Methods:
- A literature review was performed.
- Searches of PubMed and Medline databases were conducted.
- Keywords included "pediatric myopia," "axial elongation," "scleral remodeling," and "atropine," focusing on RCTs, systematic reviews, and meta-analyses.
Main Results:
- Genetic factors and environmental modifications significantly impact myopia progression and related complications.
- Current treatments improve vision and prevent amblyopia but do not halt axial elongation.
- Emerging optical, pharmacological, and surgical treatments show promise for myopia control and ocular health preservation.
Conclusions:
- Identifying factors influencing myopia onset and progression is crucial.
- This understanding will aid in developing effective treatments.
- The goal is to reduce disease burden, halt progression, and improve myopia management.
Purpose:
This review discusses the etiology and pathogenesis of myopia, prevention of disease progression and worsening axial elongation, and emerging myopia treatment modalities.
Introduction:
Pediatric myopia is a public health concern that impacts young children worldwide and is associated with numerous future ocular diseases such as cataract, glaucoma, retinal detachment and other chorioretinal abnormalities. While the exact mechanism of myopia of the human eye remains obscure, several studies have reported on the role of environmental and genetic factors in the disease development.
Methods:
A review of literature was conducted. PubMed and Medline were searched for combinations and derivatives of the keywords including, but not limited to, "pediatric myopia", "axial elongation", "scleral remodeling" or "atropine." The PubMed and Medline database search were performed for randomized control trials, systematic reviews and meta-analyses using the same keyword combinations.
Results:
Studies have reported that detection of genetic correlations and modification of environmental influences may have a significant impact in myopia progression, axial elongation and future myopic ocular complications. The conventional pharmacotherapy of pediatric myopia addresses the improvement in visual acuity and prevention of amblyopia but does not affect axial elongation or myopia progression. Several studies have published varying treatments, including optical, pharmacological and surgical management, which show great promise for a more precise control of myopia and preservation of ocular health.
Discussion:
Understanding the role of factors influencing the onset and progression of pediatric myopia will facilitate the development of successful treatments, reduction of disease burden, arrest of progression and improvement in future of the management of myopia.
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