RT info:eu-repo/semantics/article T1 Impact of high myopia on visual disability and its causes in a Spanish cohort A1 Arlanzon-Lope, Pablo A1 Fernandez-Pedruelo, Daniel A1 Alvarez-Arauzo, Belén A1 Cuadrado-Asensio, Ruben A1 del Alamo-Martin, Maria Teresa A1 Coco-Martin, Rosa Maria K1 Oftalmología K1 High Myopia, Visual Disability Causes, Visual Disability Scales K1 3201.09 Oftalmología AB Purpose: To evaluate visual disability (VD) and associated functional limitations in a Spanish High Myopia (HM) cohort using various disability scales and to identify the main causes of this disability and its impact on daily life.Methods: This observational study reviewed HM adults clinical records at IOBA from January 2023-June 2024. Exclusion criteria included incomplete data and having different pathologies other than pathologic myopia. VD was classified using ICD-10, ICD-11, and Wecker scales. R was used for statistical analysis.Results: We analysed 600 eyes from 300 patients (73.7% women, mean age 57.6± 15.3 years, mean spherical equivalent (SE) -13.04±6.03 D, mean LogMAR visual acuity 0.52± 0.72). According to ICD-11, 7.6% had mild VD, 12.3% moderate, 4.7% severe, and 2.7% were blind. Wecker scale showed 46.7% had VD. VD patients were older (p-value= 5.81*10-17) and had more negative SE (p-value=7.96*10-13). No sex differences in VD or pathology frequency were found. Myopic macular atrophy (MMA) (OR=7.816), retinal detachment (OR=3.956), amblyopia (OR=3.455), neovascularization (OR=2.668), SE (OR=1.115), and age (OR=1.040) were statistically significant key factors (p-value<0.05) for greater VD.Conclusion: this study highlihths a significant VD in a Spanish HM cohort being MMA the main cause. Age and SE were found to be relevant factors, as well.This helps to indentiy patients more in need of visual rehabilitation. PB Elsevier SN 1888-4296 YR 2025 FD 2025-10 LK https://uvadoc.uva.es/handle/10324/77041 UL https://uvadoc.uva.es/handle/10324/77041 LA spa NO J optometry, Octubre-Noviembre 2025, Vol 18, n.4, p. 100571 (9 páginas) NO Producción Científica DS UVaDOC RD 16-ago-2025