Editorial
Vasospasm and glaucoma
| The first 150 words of the full text of this article appear below. |
A 54 year old emmetropic woman is referred to the hospital eye
service because her optometrist detected a visual field defect in the
presence of normal intraocular pressure using non-contact tonometry.
She is otherwise fit and well, is a non-smoker, takes no medications,
and has no family history of ocular disease. Examination shows cupping
of the optic discs and significant visual field loss. The applanation
ocular pressures are never greater than 18 mm Hg at the clinic and
during 24 hour phasing, and the clinical diagnosis is low tension
that
is, normal pressure, glaucoma (NPG). Why, in the absence of elevated
ocular pressure, has this woman developed glaucomatous optic neuropathy?
On further questioning, she admits to having cold hands and feet ("my
husband says that my feet are always freezing when I cuddle up to him
at night"), and also has a history of migraine headaches since
her teenage years. What is the
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Relevant Article
- Glaucoma and vasospasm
- David C Broadway and Stephen M Drance
Br. J. Ophthalmol. 1998 82: 862-870.[Abstract] [Full Text] [PDF]
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