Which ocular history findings are characteristic of a glaucoma suspect?

Updated: Jul 27, 2020
  • Author: Robert H Graham, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Ocular history includes the following ocular conditions that have been implicated as risk factors for developing glaucoma [13, 14] :

  • Myopia: Risk factor for glaucoma; disc evaluation difficult (myopic fundus, tilted disc); visual field testing more difficult (fundus abnormalities, refraction-related inaccuracies)

  • Pseudoexfoliation: Increases with advanced age

  • Pigment dispersion: 25%-50% risk of developing glaucoma

  • Ocular trauma

  • Glaucoma in one eye: Associated with increased risk of future damage in the other eye; development of visual field defects in an average of 5 years in about 29% of untreated undamaged fellow eyes

  • History of uveitis/inflammatory ocular disease

  • Congenital anomalies

  • Prior eye surgery

  • Retinal vascular occlusion: In susceptible individuals, increased IOP associated with a risk of developing central retinal vein occlusion (CRVO)

  • Current or past use of steroids: Topical steroids may elevate pressure in certain individuals; optic nerve damage may be residual from previous increased IOP associated with steroid use; the elevation of IOP is usually seen within a few weeks of starting topical steroids

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