Research priorities for diagnostics, progression monitoring, and treatment of glaucoma in myopic eyes - Summary - MDSpire

Research priorities for diagnostics, progression monitoring, and treatment of glaucoma in myopic eyes

  • By

  • Sanna Leinonen

  • Rupert Bourne

  • Adam LaMontagne

  • Gordana Sunaric Mégevand

  • May 21, 2026

  • 0 min

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Objective:

To identify critical research priorities in glaucoma diagnostics, progression monitoring, and treatment specifically in myopic eyes, focusing on the challenges posed by overlapping clinical features.

Key Findings:
  • The most critical theme identified was distinguishing glaucomatous changes from myopic changes, with 209 related questions, highlighting the diagnostic challenges.
  • Ocular coherence tomography (OCT) was frequently discussed, with 172 questions addressing its role in diagnostics, indicating its importance in clinical practice.
  • Visual field testing and interpretation were highlighted in 135 questions, focusing on typical defects and strategies for monitoring progression, underscoring the need for improved methodologies.
Interpretation:

The findings underscore the complexity of diagnosing and managing glaucoma in myopic patients, emphasizing the need for targeted research to develop clearer diagnostic criteria and treatment protocols.

Limitations:
  • The survey had a response rate of only 24%, which may limit the generalizability of the findings and suggests a need for broader participation.
  • Responses were collected from a specific group of glaucoma specialists, potentially biasing the results and limiting the diversity of perspectives.
Conclusion:

The study highlights the urgent need for further research to improve glaucoma diagnostics and treatment in myopic individuals, addressing the challenges posed by overlapping clinical features and enhancing clinical outcomes.

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