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(1) Background The microstructural alterations associated with peripapillary choriocapillaris in large myopes continue to be evasive. Here, we utilized optical coherence tomography angiography (OCTA) to explore elements associated with these alterations. (2) techniques This cross-sectional control research included 205 adults' eyes (95 with a high myopia and 110 with mild to reasonable myopia). The choroidal vascular network was imaged making use of OCTA, while the images underwent manual