Optos color RG imaging of this highly myopic patient shows severe myopic degeneration extending from the central macula inferiorly, along with peripapillary atrophy that extends beneath the entire inferotemporal arcade.
Learning Points:
Perivascular chorioretinal atrophy is a newly described finding in highly myopic eyes (Benahmed et al, AJO 2025;271:498-506). The atrophy occurs along the first few bifurcations of the major retinal vessels and always develops in eyes with a posterior staphyloma. An anterior scleral protrusion along the retinal vessel is seen in 74% of eyes, suggesting that anomalous scleral curvature may cause this unusual atrophy.
