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Low-tension glaucoma MH Macular hole MI Myocardial infarction MS Multiple sclerosis NIDDM Non-insulin-dependent diabetes mellitus NRR Neuro-retinal rim NS Nuclear sclerosis: NTG Normal tension glaucoma: PDR Proliferative diabetic retinopathy PDT Photodynamic therapy: PK Penetrating keratoplasy: POAG Primary open-angle glaucoma PPDR
The diurnal variation for normal eyes is between 3 and 6 mmHg and the variation may increase in glaucomatous eyes. During the night, intraocular pressure may not decrease [17] despite the slower production of aqueous humour. [18] Glaucoma patients' 24-hour IOP profiles may differ from those of healthy individuals. [19]
Over many years, glaucoma has been defined by an intraocular pressure of more than 20 mm Hg. Incompatible with this (now obsolete) definition of glaucoma was the ever larger number of cases that have been reported in medical literature in the 1980s and 1990s who had the typical signs of glaucomatous damage, like optic nerve head excavation and thinning of the retinal nerve fiber layer, while ...
Conversely, optic nerve damage may occur with normal pressure, known as normal-tension glaucoma. [27] In case of above-normal intraocular pressure, the mechanism of open-angle glaucoma is believed to be the impeded exit of aqueous humor through the trabecular meshwork, while in closed-angle glaucoma, the iris blocks the trabecular meshwork. [ 2 ]
Currently, the best sign of pediatric glaucoma is an IOP of 21 mm Hg or greater present within a child. [63] One of the most common causes of pediatric glaucoma is cataract removal surgery, which leads to an incidence rate of about 12.2% among infants and 58.7% among 10-year-olds. [63]
It is an important test in the evaluation of patients at risk from glaucoma. [1] Most tonometers are calibrated to measure pressure in millimeters of mercury ( mmHg ), with the normal eye pressure range between 10 and 21 mmHg (13–28 hPa).
The normal cup-to-disc ratio is less than 0.5. A large cup-to-disc ratio may imply glaucoma or other pathology. [3] However, cupping by itself is not indicative of glaucoma. Rather, it is an increase in cupping as the patient ages that is an indicator for glaucoma. Deep but stable cupping can occur due to hereditary factors without glaucoma.
[3] [20] The result of either 'Outside Normal Limits' (significant difference in superior and inferior fields), 'Borderline' (suspicious differences) or 'Within Normal Limits' (no differences) is only considered when the patient has, or is a suspect for, glaucoma. [20] This is only available in 30-2 and 24-2 analyser protocol. [3]
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