Role of 24-Hour Intraocular Pressure Monitoring in Glaucoma Management
Joint Authors
Ho, Chun Hing
Wong, Jasper K. W.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-19
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Glaucoma is the leading cause of irreversible blindness worldwide and the prevalence is on the rising trend.
Intraocular pressure (IOP) reduction is the mainstay of treatment.
The current practice of IOP monitoring is based on spot measurements during clinic visits during office hours.
However, there are up to 50% of glaucoma patients who had normal initial IOP, while some treated patients continued to have progressive glaucomatous optic nerve damage even with a low IOP.
Recent studies have shown that the IOP of glaucoma patients fluctuated during the day with different patterns, and some of them had peak IOP outside office hours.
These findings provided us with new insights on the role of 24-hour IOP monitoring in managing normal tension glaucoma and patients with progressive deterioration despite apparently well-controlled IOP.
Nevertheless, results to date are rather inconsistent, and there is no consensus yet.
In this review, we briefly highlighted the current modalities of 24-hour IOP monitoring and summarized the characteristic 24-hour IOP pattern and the clinical relevance of IOP parameters in predicting glaucomatous progression in different glaucoma subtypes.
We also discussed the therapeutic efficacy of current glaucoma treatment modalities with respect to the mentioned 24-hour IOP profiles, so as to strengthen the role of 24-hour IOP monitoring in identifying and stratifying the risks of progression in glaucoma patients, as well as optimizing treatments according to their IOP profiles.
American Psychological Association (APA)
Ho, Chun Hing& Wong, Jasper K. W.. 2019. Role of 24-Hour Intraocular Pressure Monitoring in Glaucoma Management. Journal of Ophthalmology،Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1185475
Modern Language Association (MLA)
Ho, Chun Hing& Wong, Jasper K. W.. Role of 24-Hour Intraocular Pressure Monitoring in Glaucoma Management. Journal of Ophthalmology No. 2019 (2019), pp.1-13.
https://search.emarefa.net/detail/BIM-1185475
American Medical Association (AMA)
Ho, Chun Hing& Wong, Jasper K. W.. Role of 24-Hour Intraocular Pressure Monitoring in Glaucoma Management. Journal of Ophthalmology. 2019. Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1185475
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1185475