3 Topic Commentaries

Stress Testing Exposes Glaucoma Risk

Stress Testing Exposes Glaucoma Risk

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  Elyse McGlumphy, MD

  Glaucoma

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  Wilmer Eye Institute, Johns Hopkins Medicine

  Some patients whose eye pressure is “low” in clinic have worsening glaucoma, and we believe that may be due to spikes in pressure at different times. If patients can measure their eye pressure at home, we can get a better idea of what’s happening, and whether more aggressive treatment would be appropriate.

  Source
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  Sharon F. Freedman, MD

  Pediatric Ophthalmology and Glaucoma

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  Duke Eye Center, Duke University School of Medicine

  We found that having families measure a child’s IOP at home often revealed fluctuations that were not “caught” during office visits. Being able to evaluate IOPs taken at home over extended hours provided additional data that sometimes changed our decisions about glaucoma medications and management.

  Source
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  Leon W. Herndon Jr., MD

  Glaucoma

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  Duke Department of Ophthalmology, Duke Eye Center

  There is a significant unmet need for additional and adjunctive treatments to lower IOP in patients who have open-angle glaucoma and an IOP of 21 mm Hg or less. IOP increases at night in most glaucoma patients, especially those with normal daytime pressure, and that nocturnal elevation is associated with progressive vision loss.

  Source