Pattern and Presentation of Corneal Radius of Curvature, Axial Length, Central Corneal Thickness and Management of Pathological Myopia among 18-50 Ages in Tertiary Eye Care Center

Purpose: To evaluate the pattern of corneal radius of curvature, axial length, center corneal thickness & management of pathological myopia in a tertiary eye hospital. Methods: 60 degenerative myopic who had diagnosed as a pathological myopia selected for this study. Procedure of measurement including Visual acuity, Refraction, Pachymetry, A-scan, Keratometry, Contrast sensitivity, Color vision. Treatment includes spectacle, contact lens, low vision aids. Patient with any media opacity &had done any intra ocular surgery were excluded. Results: Among total respondents mean age was 27.01±9.22,where females (58.30%) were more common than in males(41.60%) & most of them were students by occupation.28% were consider as a genetic factor in pathological myopic cases. Almost 50% had improvement in visual acuity to normal vision & 80% improved at near visual acuity. Mean axial length was 28.26±2.02 mm, mean CCT was 515±28.22 µm & mean corneal radius of curvature was 7.59±0.27 mm. There was a significant correlation between axial length & CCT( p<0.01),between axial length & dioptric value(p<0.01).Most commonly seen in fundus features associations were tigroid fundus(84.16%), temporal crecent formation (39.16% ), tilted & pale disc(8.30%). 68.30% were improved vision by spectacle,18.30% by CL & rest other by low vision aids along with spectacle (13.30%). Conclusion: Most of patients were managed by spectacle, contact lens, low visual aids & other non-optical devices. Almost most of patient’s visual acuity improved both distance & near. Again, some of the patient’s visual acuity didn’t improve.