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Abstract #15966 Published in IGR 2-3
Large diurnal fluctuations in intraocular pressure are an independent riskfactor in patients with glaucoma.
Becker BJournal of Glaucoma 2000; 9: 487-8
The readers attention is directed to an interesting discussion on aqueous outflow and aqueous inflow and its effect on diurnal fluctuation. The correspondence between Bernard Becker on the one hand and the original authors, Asrani, Zeimer, Willensky et al, is even more important as there is increasing evidence that diurnal fluctuations in intra-ocular pressure are important in the prognosis of patients with glaucoma. Becker suggest that these fluctuations are strongly related to the old C-factor representing tonographic outflow facility. The original authors feel that also variations in aqueous inflow will contribute significantly to diurnal IOP variation. They correctly conclude that modern treatment modalities might as well be tested for their long-term effect on fluctuation.
Classification:
9.2.1 Ocular hypertension (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
