Purpose: To find association of glaucoma in pathological myopia for their early diagnosis and treatment and to prevent patients from glaucoma associated blindness. Settings and design: Cross sectional study. Materials and methods: 102 high myopic patients coming to the outpatient department at Dhiraj hospital, Waghodia, Piparia, Vadodara had undergone complete ophthalmic evaluation along with detailed ocular and medical history followed by examination. Results: A detailed clinical observation

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... s done on 102 eyes with pathological myopia with an average axial length of 28 mm which showed an overall glaucoma prevalence of 25%. The study population was divided into four different groups which showed an increased prevalence of glaucoma up to 10-20% for the first group with an axial length of 26 mm; 30% for the second group with an axial length of >26 mm; 36% for the third group with an axial length >28 mm; and finally, 40% for the fourth group with an axial length of >29 mm. It becomes very important to rule out the co-existence of myopic maculopathy and glaucomatous optic neuropathy (GON) in pathological myopia due to increased prevalence of glaucoma.