Systemic hypotension: a risk factor for glaucomatous damage?

Ophthalmologica. 1991;203(3):105-8. doi: 10.1159/000310234.


Four glaucoma patients with rapid progression of visual field damage and excavation of the optic nerve head despite normal or well-controlled intraocular pressure had one factor in common: low systemic blood pressure. Furthermore, when monitored during 24 h, a sustained blood pressure drop during sleep was always observed. Systemic hypotension, therefore, might be a significant risk factor for glaucomatous damage. The authors recommend measuring the blood pressure frequently in such patients, especially at night.

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Circadian Rhythm
  • Female
  • Glaucoma / drug therapy
  • Glaucoma / etiology*
  • Humans
  • Hypotension / complications*
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Pilocarpine / therapeutic use
  • Risk Factors
  • Visual Fields


  • Adrenergic beta-Antagonists
  • Pilocarpine