Comm Eye Health Vol. 32 No. 105 2019 pp 26. Published online 16 May 2019.

Picture quiz

Image for picture quiz
© David Yorston
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Select ALL that are TRUE

Question 1

What is wrong with this eye?

a. Dry age-related macular degeneration b. Retinitis pigmentosa c. High myopia d. Primary open-angle glaucoma

Question 2

Which of the following are more common in patients with this condition?

a. Retinal detachment b. Choroidal neovascularisation c. Acute angle-closure glaucoma d. Open-angle glaucoma e. Ptosis

Question 3

Which of the following have been shown to delay the onset or the progression of this condition?

a. Not wearing spectacles b. Avoiding playing sports c. Using low-dose atropine drops d. Spend more time outside e. Avoiding sunlight


1. c. It is high myopia. There is tilting of the optic disc with chorio retinal atrophy around the optic disc and throughout the fundus, associated with a pale retina due to atrophy of the retinal pigment epithelium.

2. a, b and d. Retinal detachment, choroidal neovascularisation and open angle glaucoma are all associated with high myopia.

3. c and d. Spending more time outside has been shown to prevent or delay the onset of myopia and low-dose atropine has been shown to reduce progression of myopia in school-aged children.