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    Ocular perfusion pressure, cerebrospinal fluid pressure: New players in glaucoma


    Good and bad of lowering BP

    Prescribing systemic BP-lowering medications is commonplace in medical practice because the drugs extend patients’ lives and the trend to lower the BP to a systolic level of 120 continues.

    “However, if the BP is lowered artificially, the risk of glaucoma might increase in some patients as seen in the Thessanoliki Eye Survey,” Dr. Liebmann noted. “In the Low-Pressure Glaucoma Treatment Study in which timolol and brimonidine were used, administration of antihypertension medications was also an independent risk factor for progression of glaucoma.”

    These findings are important for elderly patients with glaucoma who in many cases are taking increasingly more antihypertensive drugs, Dr. Liebmann emphasized.


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