OCT detected optic nerve head remodeling in a young adult with early progressive myopia

PURPOSE: To report a longitudinal OCT study of optic nerve head (ONH) neural canal remodeling in a young adult subject's eyes through the progression of early refractive myopia. OBSERVATIONS: Deep ONH changes early in the progression of myopia included enlargement of the Bruch's membrane opening, progressive temporal displacement of BMO relative to the anterior scleral canal opening, choroidal border tissue remodeling and exposure of the temporal scleral flange within the ONH neural canal of both eyes. CONCLUSIONS AND IMPORTANCE: Longitudinal OCT imaging of a young adult subject suggest that OCT is able to detect ONH neural canal remodeling early in the progression of refractive myopia that shares key features previously described only in more highly myopic eyes.