Martin-Du Pan Rémy, Pruijm Menno, Burnier Michel, Sunaric-Megevand Gordana
FMH Médecine interne et endocrinologie, cabinet médical, Bd Helvétique 26, 1207 Genève.
Service de néphrologie et hypertension, CHUV, 1011 Lausanne.
Rev Med Suisse. 2016 Sep 14;12(530):1518-1521.
Glaucoma is the second cause of blindness in industrialized countries. One of the principal risk factors for open angle glaucoma, the most prevalent form of the disease, is an increase in intraocular pressure (IOP). An excessive drop in nocturnal blood pressure (so called dipping) can be harmful by increasing ischemic damage to the optic nerve. In case of progression of glaucoma despite well controlled IOP, 24h BP monitoring is recommended. The relationship between IOP and systemic blood pressure has been the subject of several studies that are reviewed in this article. The influence of antihypertensive drugs on IOP is also discussed.
青光眼是工业化国家失明的第二大原因。开角型青光眼是该疾病最常见的形式,其主要危险因素之一是眼内压(IOP)升高。夜间血压过度下降(即所谓的血压波动)会因增加对视神经的缺血性损伤而有害。如果在眼压得到良好控制的情况下青光眼仍进展,则建议进行24小时血压监测。眼压与全身血压之间的关系一直是几项研究的主题,本文对此进行了综述。还讨论了抗高血压药物对眼压的影响。