Paradoxical increase in peripapillary retinal nerve fibre layer thickness during the acute phase of steroid‐induced increase in intraocular pressure in a patient with vernal keratoconjunctivitis.

Fundoscopy revealed severe cupping of the right optic nerve head (ONH) even though the RNFL thickness was within normal range, see Figure 2b. Six months after IOP normalization we found glaucomatous visual field defects and reduction of the RNFL and GCL thickness in the left eye, se Figure 2g and Figure 3. As in the right eye, cupping of the left ONH was noted during increased IOP even though the RNFL and GCL thickness were within normal range, see Figure 2f. Trabeculotomy was therefore performed in the left eye also. [Extracted from the article]