The reason for the rapid development of myopia in adolescents, which cannot be stopped, is due to high intraocular pressure. According to the report, the misdiagnosis and underdiagnosis rate of juvenile-type glaucoma is as high as 43.4%, which is often misdiagnosed as myopia. It is recommended that when parents find that their child’s vision is declining, they should not hastily just treat it as myopia to get glasses, but must pay attention to the intraocular pressure, and for children with fast-growing myopia, it is even more necessary to carefully examine them to rule out the possibility of glaucoma. Clinically, there are indeed some children whose myopia tends to stabilize after being given IOP-lowering treatment. Should I consider IOP-lowering treatment when my myopia is increasing rapidly and all other methods have failed? First of all, the theory of elevated IOP in myopic patients has been agreed by most scholars, but there is no good mechanism to explain the cause of elevated IOP, and it is inconclusive whether lowering IOP can inhibit the formation of myopia or slow down the progression of myopia. Second, IOP-lowering drugs generally have various side effects, and their blind application is not recommended. If no other cause can be found, or if all other methods have been tried and still do not work, it is recommended to come to the hospital to measure the IOP. If the IOP is high, the glaucoma specialist will usually recommend a 24-hour IOP measurement, and if the test results are indicative of treatment (which must be judged by the doctor), only then can the IOP-lowering medication be used according to the prescription! Note: For people with normal IOP, using IOP-lowering medications will not help slow down the progression of myopia.