Indications for a systemic work-up in glaucoma

Matthew E Emanuel; Steven J Gedde

doi:10.1016/j.jcjo.2014.10.001

Indications for a systemic work-up in glaucoma

Can J Ophthalmol. 2014 Dec;49(6):506-11. doi: 10.1016/j.jcjo.2014.10.001.

Authors

Matthew E Emanuel¹, Steven J Gedde²

Affiliations

¹ Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Fla.
² Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Fla. Electronic address: sgedde@med.miami.edu.

PMID: 25433739
DOI: 10.1016/j.jcjo.2014.10.001

Abstract

Most glaucomas are primary in nature. However, many adult and childhood glaucomas are secondary, and they require systemic evaluation to pick up associated systemic disease. Conditions such as nocturnal hypotension and sleep apnea may contribute to glaucomatous progression, whereas neurologic diseases may mimic normal tension glaucoma based on disc appearance. This review highlights those conditions in which a focused systemic work-up can improve glaucoma management and potentially discover life-threatening disease.

Publication types

Review

MeSH terms

Adult
Diagnostic Techniques, Ophthalmological*
Disease Progression
Eye Diseases / complications
Glaucoma / diagnosis*
Glaucoma / etiology*
Humans
Hypotension / complications
Infant
Sleep Apnea, Obstructive / complications