Presence and rapid decline of early morning intraocular pressure peaks in glaucoma patients

Ran Zeimer, J. T. Wilensky, D. K. Gieser

Research output: Contribution to journalArticle

Abstract

A group of nine glaucoma patients in whom home tonometry, with the self-tonometer, had previously demonstrated elevated intraocular pressure (IOP) peaks upon waking were asked measure their IOPs when they awoke in the morning, 30 minutes later, and 1 hour later. This was repeated for 4 days and medication was taken only after the third measurement. Eight of the nine patients demonstrated a reproducible decrease in IOP ranging from 2 to 18 mmHg within 30 minutes. There are indications that the momentary IOP elevation is associated with wakening. This phenomenon raises interesting questions regarding IOP variations. It indicates that in certain cases significant IOP peaks disappear before the patient can reach the clinic and may have an effect on loss of vision.

Original languageEnglish (US)
Pages (from-to)547-550
Number of pages4
JournalOphthalmology
Volume97
Issue number5
StatePublished - 1990
Externally publishedYes

Fingerprint

Intraocular Pressure
Glaucoma
Manometry

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Presence and rapid decline of early morning intraocular pressure peaks in glaucoma patients. / Zeimer, Ran; Wilensky, J. T.; Gieser, D. K.

In: Ophthalmology, Vol. 97, No. 5, 1990, p. 547-550.

Research output: Contribution to journalArticle

Zeimer, Ran ; Wilensky, J. T. ; Gieser, D. K. / Presence and rapid decline of early morning intraocular pressure peaks in glaucoma patients. In: Ophthalmology. 1990 ; Vol. 97, No. 5. pp. 547-550.
@article{c0f5a11a79814ac4b41b617b30a039eb,
title = "Presence and rapid decline of early morning intraocular pressure peaks in glaucoma patients",
abstract = "A group of nine glaucoma patients in whom home tonometry, with the self-tonometer, had previously demonstrated elevated intraocular pressure (IOP) peaks upon waking were asked measure their IOPs when they awoke in the morning, 30 minutes later, and 1 hour later. This was repeated for 4 days and medication was taken only after the third measurement. Eight of the nine patients demonstrated a reproducible decrease in IOP ranging from 2 to 18 mmHg within 30 minutes. There are indications that the momentary IOP elevation is associated with wakening. This phenomenon raises interesting questions regarding IOP variations. It indicates that in certain cases significant IOP peaks disappear before the patient can reach the clinic and may have an effect on loss of vision.",
author = "Ran Zeimer and Wilensky, {J. T.} and Gieser, {D. K.}",
year = "1990",
language = "English (US)",
volume = "97",
pages = "547--550",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Presence and rapid decline of early morning intraocular pressure peaks in glaucoma patients

AU - Zeimer, Ran

AU - Wilensky, J. T.

AU - Gieser, D. K.

PY - 1990

Y1 - 1990

N2 - A group of nine glaucoma patients in whom home tonometry, with the self-tonometer, had previously demonstrated elevated intraocular pressure (IOP) peaks upon waking were asked measure their IOPs when they awoke in the morning, 30 minutes later, and 1 hour later. This was repeated for 4 days and medication was taken only after the third measurement. Eight of the nine patients demonstrated a reproducible decrease in IOP ranging from 2 to 18 mmHg within 30 minutes. There are indications that the momentary IOP elevation is associated with wakening. This phenomenon raises interesting questions regarding IOP variations. It indicates that in certain cases significant IOP peaks disappear before the patient can reach the clinic and may have an effect on loss of vision.

AB - A group of nine glaucoma patients in whom home tonometry, with the self-tonometer, had previously demonstrated elevated intraocular pressure (IOP) peaks upon waking were asked measure their IOPs when they awoke in the morning, 30 minutes later, and 1 hour later. This was repeated for 4 days and medication was taken only after the third measurement. Eight of the nine patients demonstrated a reproducible decrease in IOP ranging from 2 to 18 mmHg within 30 minutes. There are indications that the momentary IOP elevation is associated with wakening. This phenomenon raises interesting questions regarding IOP variations. It indicates that in certain cases significant IOP peaks disappear before the patient can reach the clinic and may have an effect on loss of vision.

UR - http://www.scopus.com/inward/record.url?scp=0025274942&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025274942&partnerID=8YFLogxK

M3 - Article

C2 - 2342798

AN - SCOPUS:0025274942

VL - 97

SP - 547

EP - 550

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 5

ER -