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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 ...
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]
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 ]
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
For most individuals, the normal range of intraocular pressure is between 10 mmHg and 21 mmHg. [3] It is estimated that approximately 2-3% of people aged 52-89 years old have ocular hypertension of 25 mmHg and higher, and 3.5% of people 49 years and older have ocular hypertension of 21 mmHg and higher.
ONH is the single leading cause of permanent legal blindness in children in the western world. [12] The incidence of ONH is increasing, although it is difficult to estimate the true prevalence. Between 1980 and 1999, the occurrences of ONH in Sweden increased four-fold to 7.2 per 100,000, while all other causes of childhood blindness had declined.
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]
Secondary glaucoma indicated after congenital cataract surgery is found between 6 and 24% of the cases noted, whereas, secondary glaucoma caused by primary IOL implantation was observed as 9.5%. [5] Additionally, for patients with aphakia and secondary IOL implantation, 15.1% of the cases were determined. [ 5 ]
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