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PURPOSE: To report a case of progressive axial myopia associated with traumatic glaucoma in a juvenile patient with no systemic disease. DESIGN: Interventional case report. METHODS: In a 15-year-old male, serial ocular examinations, including manifest refraction, tonometry, and axial eye length measurement, were performed over a six-year period, starting with blunt trauma, right eye, followed by a series of surgical procedures for traumatic cataract and glaucoma. RESULTS: A 4-diopter myopic shift (from -1.25 to -5.25) with a 1.5-mm increase in the axial eye length occurred, whereas the intraocular pressure increased from 21-46 mmHg, during a two-year period. The refraction, axial eye length, and intraocular pressure remained stable during the same period in the fellow, normal eye. CONCLUSION: Progressive axial myopia associated with traumatic glaucoma is possible in a juvenile patient in his late teens.
Dr. T.A. Graul, Department of Ophthalmology & Visual Sciences, University of Iowa, Iowa City, IA, USA
8.1 Myopia (Part of: 8 Refractive errors in relation to glaucoma)
9.4.7 Glaucomas associated with ocular trauma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)