The association of ocular hypertension with the exfoliation syndrome, the pigmentary dispersion syndrome and myopia.

The intraocular pressure (IOP) may rise dramatically with the appearance of the exfoliation syndrome. With the pigmentary dispersion syndrome, the IOP may have a tendency toward large spontaneous fluctuations. There is evidence supporting a correlation between elevated IOP and myopia. The author reviews various reports on these entities, noting that perhaps because of the effects of the exfoliation and pigmentary dispersion syndromes on IOP, it is difficult to follow many of these patients over a long period of time without therapy.