Patient presents with high myopia, also known as severe myopia or pathological myopia.  Presenting complaint includes blurred distance vision, difficulty seeing far away objects, and eye strain.  Visual acuity significantly reduced for distance, requiring high-power corrective lenses.  Refraction reveals a spherical equivalent refractive error greater than -6.00 diopters in at least one eye.  Axial length measurement demonstrates elongated globe consistent with high myopia diagnosis.  Anterior chamber depth and lens thickness were assessed.  Peripheral retinal examination performed to evaluate for retinal thinning, lattice degeneration, peripheral retinal holes, and tears, which are common complications of high myopia.  Assessment includes evaluation for posterior staphyloma and myopic maculopathy including Fuchs spots.  Patient education provided regarding increased risk of retinal detachment, glaucoma, and cataracts associated with high myopia.  Treatment plan includes corrective lenses such as eyeglasses or contact lenses for improved visual acuity.  Discussion of options including refractive surgery like LASIK, PRK, or ICL may be considered if appropriate.  Regular ophthalmologic follow-up recommended for monitoring of myopic progression and development of complications.  ICD-10 code H52.1 (myopia) is used, with additional codes for any associated complications such as retinal detachment (H33.2), glaucoma (H40.1), or cataract (H26.9).  Medical billing and coding will reflect the complexity of the examination and any associated procedures.