August 1985
Volume 26, Issue 8
Articles  |   August 1985
The neurologic evaluation of patients with low-tension glaucoma.
Investigative Ophthalmology & Visual Science August 1985, Vol.26, 1101-1104. doi:
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      J J Corbett, C D Phelps, P Eslinger, P R Montague; The neurologic evaluation of patients with low-tension glaucoma.. Invest. Ophthalmol. Vis. Sci. 1985;26(8):1101-1104.

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      © ARVO (1962-2015); The Authors (2016-present)

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One hypothesized cause of low-tension glaucoma is chronic or intermittent ischemia of the optic nerve. Since the optic nerve and brain are both parts of the central nervous system and share a common blood supply, the authors wondered if patients with low-tension glaucoma might also have clinical or radiographic evidence of cerebral atrophy. In this study, 27 patients with low-tension glaucoma were examined using neurobehavioral testing, electroencephalography, computerized tomographic scan, neurological history, and physical examination. In only a small number of patients were these tests abnormal. However, 12 of the 27 patients gave a history of common or classic migraine. This unexpected finding raises the possibility that migraine-related ischemia might be the pathogenic mechanism in some cases of low-tension glaucoma.


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