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NR. 1/2009
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Wybrane praktyczne
aspekty kontroli ciśnienia wewnątrzgałkowego u chorych z jaskrą
Some Practical Aspects of Intraocular Pressure Control in
Patients with Glaucoma
Joanna Wierzbowska
Klinika Okulistyczna Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
In a review some practical
aspects of intraocular pressure (IOP) control regarding
mainly IOP diurnal curve and peak of IOP were emphasized.
Glaucoma is a 24-hour disease with diurnal intraocular
pressure (IOP) variation and IOP peaks. There is poor
correlation between single measurement and the IOP peak,
which may play a role of ”silent killer”, responsible
for further glaucoma damage because often can not be
detected during office hours. In glaucoma patients with
advanced disease or with progression that is
non-adequate to known IOP measurements, 24-hour IOP
monitoring may suggest a greater role of IOP-related
risk for glaucoma progression than previously suspected
and thus may justify a more aggressive IOP – lowering
treatment strategy. The follow-up of glaucoma patients
should be scheduled, keeping in mind the baseline
circadian rhythm and taking into account the possible
timing of peak of IOP. |
| Key words: |
glaucoma, intraocular
pressure, diurnal curve of intraocular pressure, peak of
intraocular pressure, water drinking test. |
| Słowa kluczowe: |
jaskra, ciśnienie
wewnątrzgałkowe, krzywa dobowa ciśnienia
wewnątrzgałkowego, maksymalne ciśnienie wewnątrzgałkowe,
test wodny. |
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