Progressive axial myopia in a juvenile patient with traumatic glaucoma.

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.