Teenagers can also get glaucoma, and children with rapidly increasing myopia may have combined glaucoma and need to be screened! Many people think that glaucoma is the exclusive preserve of the elderly, but in fact, many teenagers can also develop glaucoma, and our glaucoma classification standard defines congenital glaucoma between the ages of 6 and 30 as juvenile glaucoma. Since juvenile glaucoma is not detected by changes in eye appearance like infantile glaucoma, and the symptoms are not obvious at the beginning of the disease, often only showing an increase in intraocular pressure, and juveniles generally have limited ability to express the disease, it is easy to be misdiagnosed or missed. 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 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 have the IOP measured. 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 to slow down the progression of myopia! Some adolescents have rapid myopia development and cannot stop because of high eye pressure. According to the report, the misdiagnosis and underdiagnosis rate of juvenile glaucoma is as high as 43.4%, which is often misdiagnosed as myopia. It is recommended that parents who find their children’s vision declining 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 check carefully to rule out the possibility of glaucoma.