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The Benefit of Nocturnal IOP Reduction in Glaucoma, Including Normal Tension Glaucoma

Title: The Benefit of Nocturnal IOP Reduction in Glaucoma, Including Normal Tension Glaucoma
Authors: Huang, Alex S; P, Anthony; Goldberg, Jeffrey L; Samuelson, Thomas W; Morgan, William H; Herndon, Leon; Ferguson, Tanner J; Weinreb, Robert N
Source: Clinical Ophthalmology, vol 18, iss 0
Publisher Information: eScholarship, University of California
Publication Year: 2024
Collection: University of California: eScholarship
Subject Terms: 32 Biomedical and Clinical Sciences (for-2020); 3212 Ophthalmology and Optometry (for-2020); Aging (rcdc); Neurodegenerative (rcdc); Eye Disease and Disorders of Vision (rcdc); Neurosciences (rcdc); 2.1 Biological and endogenous factors (hrcs-rac); Eye (hrcs-hc); glaucoma; nocturnal intraocular pressure; translaminar pressure differential; 1113 Opthalmology and Optometry (for)
Time: 3153 - 3160
Description: Nocturnal intraocular pressure (IOP) profiling has shown that the peak IOP usually occurs at night, particularly in patients with glaucoma. Multiple studies have demonstrated that these nocturnal IOP elevations drive glaucomatous progression, often despite stable daytime IOP. Existing vascular dysregulation and decreased nighttime blood pressure compound the damage via low ocular perfusion pressure while elevated nocturnal IOP disrupts axonal transport. These findings are consistent with studies that indicate lowering nocturnal IOP is important for slowing glaucoma progression. Many of the current treatment options lower nighttime IOP significantly less than daytime IOP. Non-invasive IOP-lowering treatments that effectively lower nocturnal IOP remain an unmet need in the treatment of glaucoma.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: qt52c6t98w; https://escholarship.org/uc/item/52c6t98w; https://escholarship.org/content/qt52c6t98w/qt52c6t98w.pdf
DOI: 10.2147/opth.s494949
Availability: https://escholarship.org/uc/item/52c6t98w; https://escholarship.org/content/qt52c6t98w/qt52c6t98w.pdf; https://doi.org/10.2147/opth.s494949
Rights: CC-BY-NC
Accession Number: edsbas.663F0EE3
Database: BASE