Development of Glaucoma after Myopic Optic Disc Change in a Teenage Patient

An 11-year-old patient showed progressive change of the optic disc shape during adolescence (Fig A) with development of disc hemorrhage at the age of 17 (arrow). Myopia progressed with refractive error and axial length changing from –4.0 to –8.0 diopters, and from 25.7 to 28.5 mm, respectively. Progressive visual field change was also observed (Fig B). The patient did not have any systemic diseases or a family history of glaucoma. The intraocular pressure (IOP) ranged from 14 to 15 mmHg before starting topical pressure-lowering medication.