Vascular disease may reduce effect of IOP lowering in normal tension glaucoma

VANCOUVER, British Columbia — Factors related to vascular disease may indicate less effect of IOP reduction in patients with normal tension glaucoma, a speaker here said. In particular, family history of stroke and presence of cardiovascular disease may reduce the efficacy of pressure-reducing therapies.The first challenge is to identify which patients with normal tension glaucoma need their IOP lowered, Frederick S. Mikelberg, MD, FRCSC, said at the World Glaucoma Congress. After that, choosing the best treatment modality and determining the treatment goal are considered.

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