A case of angle-closure glaucoma secondary to lens zonular abnormalities in a patient with high myopia

Abstract In earlier research on angle-closure glaucoma, high myopia—which is defined by a longer axial length and a deeper anterior chamber depth—has hardly ever been documented. According to a recent study, high myopia and aberrant ciliary body function can cause lens dislocation because the ciliary body's decreased tension on the lens causes angle closure, elevated intraocular pressure, and the need for immediate mydriasis, intraocular pressure reduction, and surgery. It is easy for this illness to be mistaken for primary angle-closure glaucoma. In addition to failing to alleviate the problem, miosis treatment may worsen anterior chamber shallowing and potentially lead to malignant glaucoma. An uncommon case of acute angle-closure glaucoma in a patient with extreme myopia due to lens zonular dysfunction is described in this study.