Extreme Achslängen bei hochgradiger Myopie

Purpose. This case report describes a high axial myopia in a 71-year old female patient. Material and Methods. Axial length was measured with the Myopia Master (Oculus Optikgeräte GmbH) and a fundus scan was performed with the EasyScan (Epitop GmbH). Results. Axial length was 36.63 mm and 35.34 mm in the right and left eye. Both fundi presented myopic maculopathy with flecked chorioretinal atrophy and peripapillary atrophy. Visual acuity with contact lenses was 20/63 in the right eye and 20/50 in the left eye. Conclusion. In the literature case reports of patients with extreme axial lengths were only found in patients of older age. High myopias can present with staphylomas, which leads to an increase in axial length. Therefore a screening of axial length could also be indicated in elderly, highly myopic patients.