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July 1965

Clinical Evaluation of Congenital Myopia

Author Affiliations

Washington, DC
From the Children's Hospital. Junior Associate in Ophthalmology (Dr. Hiatt); Chairman, Department of Ophthalmology, (Dr. Costenbader); Senior Attending, Department of Ophthalmology (Dr. Albert).

Arch Ophthalmol. 1965;74(1):31-35. doi:10.1001/archopht.1965.00970040033007

Myopia has been variously designated "simple," "physiologic," "pathologic," "progressive," "benign," "malignant," "degenerative," "congenital," and "acquired." These terms are not mutually exclusive and some of them have been used interchangeably by various clinicians and authors. By "congenital myopia" we mean any degree of myopia demonstrated at birth, or any significant degree of myopia found to be present before the age of 6 years. Our experience has convinced us that infantile myopia does not get worse during the preschool years, so any myopia found to be present before the school age is presumed to have been present since birth.

Congenital myopia is an important entity in the practice of ophthalmology in the young. It is much less common than acquired myopia,1 but it is often grouped with it and consequently the peculiar aspects of congenital myopia are often overlooked. It is our feeling that several points in the clinical evaluation and

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