Indications for a systemic work-up in glaucoma

Emanuel, Matthew E.; Gedde, Steven J.

doi:10.1016/j.jcjo.2014.10.001

Cited by 14 publications

(12 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, some authors have argued that ‘ophthalmic evaluation should be recommended in patients with severe OSA/hypopnea syndrome, and the presence of sleep disorders should be investigated in patients with glaucoma’,3 while others have said that ‘it may be prudent to administer an OSA questionnaire to patients with progressive glaucomatous optic neuropathy despite apparently good IOP control’ 6. Because of this publicity, one might have expected some evidence of increased rate ratios, even in the absence of a genuine association.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between obstructive sleep apnoea, primary open angle glaucoma and age-related macular degeneration: record linkage study

Keenan

Goldacre

2016

Br J Ophthalmol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Also, a definite association might suggest that individuals with one condition should be screened for the other 3 6. For example, patients with primary open angle glaucoma with undiagnosed OSA might potentially require OSA treatment as well as conventional IOP reduction for optimal glaucoma therapy.…”

Section: Introductionmentioning

confidence: 99%

Associations between obstructive sleep apnoea, primary open angle glaucoma and age-related macular degeneration: record linkage study

Keenan

Goldacre

2016

Br J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Glaucoma in this age group could be secondary to congenital conditions like Axenfeld-Reiger's syndrome, Sturge Weber syndrome, Peter's anomaly or aniridia. 86 It may also be secondary to inflammatory conditions like uveitis or trauma. These may prove to be challenging in terms of management.…”

Section: Medical Management Of Glaucomamentioning

confidence: 99%

Management of Glaucoma in Pregnancy

Mathew

Harris

Ridenour

et al. 2019

Journal of Glaucoma

View full text Add to dashboard Cite

show abstract

“…However, young individuals with a significant decrease in visual acuity, vertically aligned VF defects, and neuroretinal rim pallor may present with anterior visual pathway compression caused by an intracranial mass, which should be evaluated with neuroimaging examinations (40,41) . After eliminating all secondary causes of glaucoma and possible diseases that could lead to a misdiagnosis of NTG, it is important to evaluate the influence of CCT on IOP.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Normal-tension glaucoma: an update

Esporcatte¹,

Tavares²

2016

Arquivos Brasileiros De Oftalmologia

View full text Add to dashboard Cite

However, several structural and functional differences support the fact that different mechanisms may have a stronger role in the pathogenesis of NTG versus high-pressure POAG. Also, a recent study reported genetic variants associated with different tendencies towards POAG with lower or higher IOP (6) . Furthermore, clinical impression and anecdotal evidence suggest that NTG with mean IOP in the high teens (>15 mmHg), in which circadian fluctuation and CCT could lead to a possible misdiagnosis of an IOP ≤21 mmHg, would differ from NTG with mean IOP in the low teens (≤15 mmHg), with different ABSTRACT Descritores: Glaucoma de ângulo aberto; Pressão in traocular; Doenças do nervo óptico; Anti-hipertensivos/uso terapêuticopathogenesis and progression patterns, harder to achieve target IOP, and higher incidence of disc hemorrhages. Nonetheless, a recent report does not support this assumption and underscores low-teens NTG as an important entity (7) . The proportion of NTG varies depending on different population studies. In Asian epidemiological protocols, NTG constituted the majority of open-angle glaucomas (52%-92%), depending on the country and study methodology (8) . Normal IOP was measured in 57.1% cases of POAG in a South African study (9) . In white populations, the proportion of NTG was lower than that observed in Asian and African populations. In studies conducted in the United States, Netherlands, and Italy, NTG presented proportions of 31. 7%, 38.9%, and 30%, respectively (10-12) . The etiology of NTG is most likely multifactorial and still not well defined. Moreover, several alternative treatments based on this different pathogenesis have been discussed. The objective of this study was to review the mechanisms involved in the onset and progression of NTG and the efficacy of established and alternative therapies for NTG treatment. PathogenesisThe pathogenesis of NTG is unclear, and perhaps the development of the disease is a consequence of a complex interaction of several systemic and ocular factors. Different studies have shown that the cardiovascular system and intracranial pressure may be involved in the main pathways of optic nerve damage. Nevertheless, the complex relationship between these mechanisms and glaucoma pro gression continues to be debated.

show abstract

Indications for a systemic work-up in glaucoma

Cited by 14 publications

References 57 publications

Associations between obstructive sleep apnoea, primary open angle glaucoma and age-related macular degeneration: record linkage study

Associations between obstructive sleep apnoea, primary open angle glaucoma and age-related macular degeneration: record linkage study

Management of Glaucoma in Pregnancy

Normal-tension glaucoma: an update

Contact Info

Product

Resources

About