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Stanford, CA
A 31-year-old male asked:

how is normal tension glaucoma treated?

2 doctor answers3 doctors weighed in
Dr. Richard Bensinger
Ophthalmology 52 years experience
Lower eye pressure: Normal tension glaucoma exists when the pressure in the eye, despite being what we call normal, causes changes that mimic ordinary glaucoma damage. Treatment is with drops and surgery to get the pressure even lower. The goal is the same, to get the pressure lower to a level that allows the eye to function but causes no pressure damage. It is not very common.
Dr. Jon Fishburn
Ophthalmology 30 years experience
Lowering IOP: Whether low tension glaucoma or higher tension glaucoma, the goal is to preserve vision, and lowering the iop about 25 to 30% of where the average iop has been is key. Iop reducing strategies involve any of the following: medications, laser trabeculopasty, and incisional surgery. More experimental ( or case by case) use of systemic medications such as calcium channel blockers or gingko, r possible.

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A 36-year-old member asked:

How does a doctor determine "normal-tension glaucoma"?

2 doctor answers4 doctors weighed in
Dr. Richard Bensinger
Ophthalmology 52 years experience
Visual field loss: Glaucoma is a problem in which the internal eye pressure presses upon vessels on the back of the eye gradually causing loss of vision. This occurs mostly when the pressure is elevated above defined normals. In "normal tension" glaucoma, the vessels are sufficiently sensitive that pressure defined as normal can still over press on these vessels and cause vision loss.

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Last updated Dec 10, 2013

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