Glaucoma and Arterial Hypertension

• Main Author: Carl Erb
• Format: Article
• Language: Russian
• Published: Real Time Ltd 2018-10-01
• Series: Российский офтальмологический журнал
• Subjects: глаукома; артериальная гипертония; глаукомная оптическая нейропатия; glaucoma; arterial hypertension; glaucomatous optic neuropathy
• Online Access: https://roj.igb.ru/jour/article/view/17

Arterial hypertension occurs in 48-65 % patients with primary open-angle glaucoma. It is the most frequent systemic disease among these patients. On the other hand, it is an independent risk factor for primary open-angle glaucoma which must be taken into consideration in the development of the glaucoma treatment strategy. The low influence on the intraocular pressure and the significant perfusion disturbances cause damages to the whole visual system, which in its turn exacerbates the detrimental effects of the intraocular pressure elevation on the glaucomatous optic neuropathy. It is necessary to keep blood pressure at a normal level and to avoid the absence of night-time blood pressure dipping or extreme dipping, as the hypotensive phases impair the autoregulation of papillary blood flow, which finally leads to the emergence of ischemic areas. Intraocular pressure reduction is only one of the aspects of the antiglaucomatous therapy, since it does not prevent the progression of glaucomatous optic neuropathy. In this case, intensive interaction of various medical disciplines is required for the long-term stabilization of the glaucoma process // Russian Ophthalmological Journal, 2016; 1: 105-111.