open access

Vol 26, No 1 (2019)
Editorial Comments
Published online: 2019-03-14
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Blood pressure and glaucoma: At the crossroads between cardiology and ophthalmology

Janusz Skrzypecki, Marcin Ufnal, Jacek P. Szaflik, Krzysztof J. Filipiak
DOI: 10.5603/CJ.2019.0008
·
Pubmed: 30882185
·
Cardiol J 2019;26(1):8-12.

open access

Vol 26, No 1 (2019)
Editorial Comments
Published online: 2019-03-14

Abstract

Glaucoma is an optic nerve neuropathy of undetermined cause. Although many mechanisms are thought to be involved in the development and progression of the disease, only an increased intraocular pressure has been established as a clinically significant modifiable risk factor. Nevertheless, up to 40% of patients develop glaucoma without evidence of increased intraocular pressure. 

Ample evidence suggests that alterations in the control of arterial blood might negatively affect optic nerve function. However, evidence-based guidelines on the management of arterial blood pressure in glaucoma patients are lacking.
Regrettably, intraocular pressure is generally not included as a secondary end-point in clinical trials on arterial hypertension. Considering the relative simplicity of intraocular pressure measurements and large number of patients included in hypertension studies, the benefits of including intraocular pressure as a secondary end-point could be of a great value for improving care for glaucoma patients. Therefore, closer collaboration between cardiologists and ophthalmologists is needed. 

Abstract

Glaucoma is an optic nerve neuropathy of undetermined cause. Although many mechanisms are thought to be involved in the development and progression of the disease, only an increased intraocular pressure has been established as a clinically significant modifiable risk factor. Nevertheless, up to 40% of patients develop glaucoma without evidence of increased intraocular pressure. 

Ample evidence suggests that alterations in the control of arterial blood might negatively affect optic nerve function. However, evidence-based guidelines on the management of arterial blood pressure in glaucoma patients are lacking.
Regrettably, intraocular pressure is generally not included as a secondary end-point in clinical trials on arterial hypertension. Considering the relative simplicity of intraocular pressure measurements and large number of patients included in hypertension studies, the benefits of including intraocular pressure as a secondary end-point could be of a great value for improving care for glaucoma patients. Therefore, closer collaboration between cardiologists and ophthalmologists is needed. 

Get Citation

Keywords

blood pressure; intraocular pressure; glaucoma; hypertension

About this article
Title

Blood pressure and glaucoma: At the crossroads between cardiology and ophthalmology

Journal

Cardiology Journal

Issue

Vol 26, No 1 (2019)

Pages

8-12

Published online

2019-03-14

DOI

10.5603/CJ.2019.0008

Pubmed

30882185

Bibliographic record

Cardiol J 2019;26(1):8-12.

Keywords

blood pressure
intraocular pressure
glaucoma
hypertension

Authors

Janusz Skrzypecki
Marcin Ufnal
Jacek P. Szaflik
Krzysztof J. Filipiak

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