Pathologic myopia (PM) had been described as a form of high myopia with degenerative changes at the posterior structures of the globe that compromised vision. Macular degenerations of PM are a leading cause of impaired vision in East Asia. PM is also the third most common cause of blindness among individuals with low vision in China. Currently, there are no effective treatments for PM. The macular degenerations of of PM may includes one of the following features: 1. Posterior staphyloma 2. Myopic maculopathy category 2 or above according to the META-PM classification: diffuse chorioretinal atrophy (category 2), patchy chorioretinal atrophy (category 3), and macular atrophy (category 4) 3. ‘Plus’ lesions: lacquer crack (LC), myopic choroidal neovascularisation (CNV), and Fuchs spot Posterior staphyloma . The META-PM study group classified the lesions of myopic maculopathy based on long-term studies of the natural course of the disorder. In this lecture, we will discuss about the macular degenerations in PM and how they impact the vision of patients.