Which clinical 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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Systemic history includes the following conditions that have been associated as risk factors for developing glaucoma [13, 14] :

  • Low blood pressure: Also includes overmedication of systemic hypertension

  • A previous episode of hypotensive shock, trauma, vascular surgery, or hemorrhage can be significant; it may indicate that optic nerve damage is not progressive but may have been a onetime insult

  • History of vasospastic disorders: A higher prevalence of migraine headaches and Raynaud syndrome exists with normal-tension glaucoma

  • Medications: In susceptible individuals, steroids may cause a rise in IOP; anticholinergics (antihistamine and antipsychotics) may precipitate angle-closure glaucoma

  • Cardiovascular disease may be a factor in low-tension glaucoma

  • Hypertension

  • Diabetes mellitus: Small association; some studies have reported a higher prevalence of increased mean IOP and POAG with diabetes mellitus; diabetes is a questionable risk factor for glaucoma (association may be a result of self-selection into the health care system)

  • Smoking [15]

  • Omega-3 fatty acids have been associated with a protective effect [15]

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