Management of Blood Pressure in Patients with Glaucoma.

Abstract:

PURPOSE OF REVIEW:Ocular perfusion pressure (OPP) is defined as the difference between BP and intraocular pressure (IOP). With low BP comes low OPP and resultant ischemic damage to the optic nerve, leading to glaucoma progression. The purpose of this article is to review the literature on BP as it relates to glaucoma and to create a forum of discussion between ophthalmologists and internal medicine specialists. RECENT FINDINGS:Both high and low BP has been linked glaucoma. Low BP is particularly associated with glaucoma progression in normal-tension glaucoma (NTG) patients. Patients who have low nighttime BP readings are at highest risk of progression of their glaucoma. Internal medicine specialists and ophthalmologists should consider the relationship between BP and glaucoma when treating patients with concomitant disease. Too-low nighttime BP should be avoided. Ambulatory blood pressure monitoring is a useful tool to identify patients at greatest risk for progression.

journal_name

Curr Cardiol Rep

authors

Levine RM,Yang A,Brahma V,Martone JF

doi

10.1007/s11886-017-0927-x

subject

Has Abstract

pub_date

2017-09-19 00:00:00

pages

109

issue

11

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-017-0927-x

journal_volume

19

pub_type

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