随着近视在亚洲地区的流行，高度近视的患病率也在逐步上升，高度近视无疑已经成为亚洲地区甚至全球范围内的公共卫生问题。视盘倾斜作为一种相对常见的病理改变多出现于高度近视的患者眼中，并且还有可能成为青光眼和黄斑病变等疾病的危险因素，从而增加对视力损害的风险。然而目前对于高度近视中出现视盘倾斜的机制以及视盘倾斜在高度近视并发症加重过程中所发挥的作用还需深入探究。因此，该文章收集整理视盘倾斜的相关文献，从高度近视导致视盘形态改变的机制以及对于各种并发症的影响做出综合性论述，以便为临床针对高度近视及其并发症的诊治提供一定依据。

With the prevalence of myopia in Asia, the prevalence of high myopia is gradually increasing, and high myopia has undoubtedly become a public health problem in Asia and even around the globe. As a relatively common pathological change in the eyes of patients with high myopia, optic disc tilt may also become a risk factor for diseases such as glaucoma and macular degeneration, thereby increasing the risk of visual impairment. However, the mechanism of optic disc tilt in high myopia and the role of optic disc tilt in the aggravation of high myopia complications still needs to be further explored. Therefore, this article collects and organizes relevant literatures on optic disc tilt, and makes a comprehensive discussion on the mechanism of optic disc shape changing caused by high myopia and the impact on various complications, so as to provide a certain basis for clinical diagnosis and treatment of high myopia and its complications.

成都中医药大学“杏林学者”学科人才科研提升计划(No.XKTD2022005)