How should high myopia be treated?

  The treatment of high myopia has three main aspects: correction of refractive abnormalities, control of eye axis lengthening and treatment of fundus lesions. Correction of refractive errors includes lens prescription, keratoconus surgery and refractive lens surgery. Control of eye axis lengthening includes posterior scleral reinforcement and keratoplasty; treatment of fundus lesions includes fundus laser, vitrectomy and retinal detachment surgery.  Myopia is a multifactorial disease in which both genetic and environmental factors contribute to the onset and progression of myopia. High pathological myopia has a genetic influence, and it is even more important to pay attention to good eye habits and reduce the role of environmental factors in the progression of myopia. Reduce close work, pay attention to reading habits, habitual use of lights, reduce the use of computing time, balanced nutrition, regular review of the fundus and early treatment of the situation.  I. Myopic laser surgery Myopic laser surgery includes myopic excimer laser surgery and myopic femtosecond laser surgery, which refers to the use of laser to reduce the curvature of the cornea in the optical area by cutting the cornea, thus correcting myopia. Myopia laser surgery corrects myopia within ±50 degrees, and the thickness of the laser-cut cornea is within ±5 microns. The stromal layer of the cornea is the site of myopic laser surgery, and no damage is done to the cells of the corneal epithelium and endothelium. The precise cutting between the stromal layers in myopic laser surgery takes advantage of the rapid self-repair of the stromal layer cells, resulting in stable vision after surgery. The excimer laser scans a single eye in 10 seconds and the femtosecond laser scans a single eye in about 20 seconds. Since there is no defect in the cells of the corneal epithelial layer after myopic laser surgery, patients do not experience pain, much less discomfort. With the advantages of high efficiency, precision, safety and convenience, some patients with high myopia can choose myopic laser surgery.  ICL (Intraocular Lens Implantation) For the treatment of super high myopia, a custom-made IOL is implanted into the eye to precisely change the focus of light and focus it on the retina to achieve the purpose of correcting super high myopia, the upper limit of ICL treatment for super high myopia can reach 2600 degrees. ICL IOL implantation preserves the integrity of the eye’s physiological structure and adjustment function, has a larger optical area, eliminates the phenomenon of aberration, and has a greater range of adaptation than corneal refractive surgery. After the surgery, the patient suffers less pain, the vision recovers quickly, the refraction is stable, and there is no regression, and it is worth mentioning that icl myopia surgery has no effect on the cornea.