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The classification of the fundus shape is crucial to the diagnosis and treatment of high myopic fundus lesions.There are four main clinical examination methods for the detection of posterior wall morphology, including ophthalmoscope, B mode ultrasonography, magnetic resonance imaging (MRI) and optical coherence tomography (OCT). Ophthalmoscopy is subjective and difficult in classification.B mode ultrasonography is limited by the scan range and the accuracy is not good enough.The 3D MRI has been found to be a well-suited way for the identification of eye shape over a wide area and any angle.OCT also is used to observe myopic fundus lesions because of a good resolving power for fundus structure.It is valuable to combine high resolution 3D-MRI and OCT.Recent advanced studies on classification posterior wall morphology of eyeball and the influences of these different classifications to the visual acuity and myopic maculopathy were reviewed.