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Progressive axial myopia in a juvenile patient with traumatic glaucoma
Thomas A Graul1, Chang-sik Kim, Wallace L M Alward
1Department of Ophthalmology & Visual Sciences, University of Iowa, Iowa City, Iowa, USA.
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 6-year period, beginning 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 to 46 mm Hg, during a 2-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.