الفهرس 
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Abstract
T
his study aimed to point to the importance of combining OCT, fundus photography with amsler grid testing in patients with high myopia.
This study was conducted on 40 eyes from El-Demerdash Hospital outpatient clinic and ophthalmology department investigations unit in the period from June 2021 till May 2022; the patients were 24 females (60.0%) and 16 males (40.0%) with age ranged from 16 to 50 years.
All subjects underwent careful history taking ,complete ophthalmic examination, macular by optovue RTVue 100 model, fundus photography by fundus camera Topcon TRC.50DX model and Amsler grid testing.
Our investigations gave us an idea about the macular diseases associated with high myopia and the importance of combining use of OCT, fundus imaging and amsler grid with patients with high myopia.
These findings consist of chorioretinal atrophy, foveoschisis, choroidal neovascularization, dehiscence of retinal layers known as retinoschisis (foveoschisis or extre foveoschisis), macular holes (lamellar and full thickness), posterior retinal detachment.
We can early detect theses changes in macula of highly myopic patients by Amsler grid testing as daily self monitoring and this can be useful in directing the patient to more sophisticated investigation tool like OCT and fundus photography and therefore give the patient the optimal chance to save the vision.
CONCLUSION AND RECOMMENDATIONS
O
CT combained with fundus photography and amsler grid testing are helpful tools that allow detailed evaluation of the macula in eyes with pathalogical myopia and easily anticipate, diagnose and follow up diseases associated with high myopia