A Case of Unilateral Congenital Myopia in a 36 Year Old Male Patient ? A Case Report and Study of Literature

A 36 yr old male, presented with defective vision both eyes detected accidentally more in right eye, he takes mixed diet, not a known diabetic and hypertensive. family history nil relevent. On examination right eye anterior segment normal, pupillary reaction normal, vision counting fingers 1 meter, intraocular pressure 10 mm of hg, fundus media vitreous floaters present, optic disc enlarged, myopic crescent present, foveal reflex dull. Left eye anterior segment normal, pupillary reaction normal, vision 6/12, intra ocular pressure 16 mm of hg, fundus media clear, optic disc enlarged, myopic crescent present, foveal reflex present. Retinoscopy right eye vertical -21 D, Horizantal -22.50D Left eye vertical +2.25 D, Horizantal +1.75D SUBJECTIVE VERIFICATIONRight eye CF 1 meter with -23.00 sphere 6/60 Left eye 6/12 with -0.50 sphere 6/6 - Left eye right eye A-SCAN - Right Eye axial length - 30.87 mm Left Eye - axial length - 24.00 mm Keratometry - Right eye - K1 - 43.25 D, K2 - 43.75 D Left Eye - k1-44.50 D, K2 - 45.00 D