Which clinical history findings are characteristic of low-tension glaucoma?

Updated: Jun 10, 2020
  • Author: Mitchell V Gossman, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

The history of low-tension glaucoma (LTG) may include the following:

  • Ocular history

  • Steroid use

  • Trauma

  • Vasospasm (see below)

  • Coagulopathies - Previous blood loss or shocklike episode

  • Systemic nocturnal hypotension (notably in older thin, white women)

  • Autoimmune disorders (evidence of other autoimmune diseases common)

  • Systemic vascular disease

  • Thyroid disease - Increased incidence of thyroid disease in patients with low-tension glaucoma (6 of 25 patients in 1 series)

  • Sleep apnea (particularly in heavy men)

  • Alzheimer disease - Associated with mild increase in cup-to-disc ratio

  • Family history of glaucoma or optic neuropathy


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