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Abstract #50632 Published in IGR 14-2

Normotensive pseudoexfoliation glaucoma: a new phenotype?

Rao A
Seminars in Ophthalmology 2012; 27: 48-51

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PURPOSE: We herein report the clinical profile of five eyes of three patients with normotensive pseudoexfoliation glaucoma. METHODS: Three patients who presented with clinical evidence of pseudoexfoliation with evident glaucomatous damage and normal intraocular pressure underwent comprehensive ophthalmic evaluation, central corneal thickness, diurnal IOP recording (in two patients), and visual field examination. RESULTS: Five eyes of the three patients were found to have advanced glaucomatous damage, thin cornea, and an IOP recording of <23 mm Hg at all occasions. Case 1 had macular branch retinal vein occlusion while case 3 had disc collaterals. CONCLUSION: Normotensive pseudoexfoliation glaucoma may represent a new phenotype highlighting the possible role of pressure-independent mechanisms of glaucoma in pseudoexfoliation.

Glaucoma Services, LV Prasad Eye Institute , Patia, Bhubaneswar , India.

Full article

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Classification:

9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)

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