Case presentation: A 3-year-old girl child was brought to the outpatient department of tertiary care with symptoms of discoloration and an increase in the size of both eyes. Physical examination: The girl had no ocular symptoms and was conscious, non-irritable, and responsive during the test. Photophobia, ripping, or blepharospasm were absent. The child's vision was not elicited during the visit, but refraction was performed, revealing that the child was myopic.

History: She was born to a nonconsanguineous couple, with a full-term normal delivery, a normal birth weight, and normal developmental milestones. There was no history of medical or surgical interventions in the past. Investigational details: Pupillary examination revealed a relative afferent pupillary defect in the right eye. Applanation tonometry showed an intraocular pressure (IOP) of 58 mmHg and 54 mmHg, with a central…