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February 8, 2012
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Normal-Tension Glaucoma

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Normal-Tension Glaucoma Overview

Glaucoma is usually high pressure inside the eye that damages the optic nerve and can result in permanent vision loss. Normal-tension glaucoma (also called low-tension glaucoma) is a unique condition in which optic nerve damage and vision loss have occurred despite a normal pressure inside the eye.

Eye pressure, called intraocular pressure (IOP),is measured in millimeters of mercury (mm Hg). Normal eye pressure ranges from 10-21 mm Hg. Most people with glaucoma have IOP of greater than 21 mm Hg; however, in normal-tension glaucoma, people have IOP within the normal range.

By definition, people with normal-tension glaucoma have open, normal-appearing angles. In fact, the features of normal-tension glaucoma are similar to primary open-angle glaucoma (POAG), the most common form of glaucoma (see Primary Open-Angle Glaucoma).

  • Although the occurrence of normal-tension glaucoma varies worldwide, it is very prevalent in Japan.

  • In the United States, up to 15-25% of people withopen-angle glaucomaexperience normal-tension glaucoma.

  • According to the Baltimore Eye Study, 50% of individuals with changes in their optic disc(the front surface of the optic nerve) and in their visual field had an IOP of less than 21 mm Hg on a single visit, and 33% had an IOP of less than 21 mm Hg on 2 measurements.

  • Normal-tension glaucoma is more common in women than in men.

  • Normal-tension glaucoma affects adults, with an average age of 60 years.
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Normal-Tension Glaucoma

Adult Glaucoma Suspect Overview

Glaucoma is usually high pressure inside the eye that damages the optic nerve and can result in permanent vision loss. Not all 3 criteria (that is, high pressure inside the eye, optic nerve damage, and vision loss) are required to diagnose glaucoma; however, a diagnosis of glaucoma is certain when all 3 criteria are present.

Elevated pressure inside the eye, called intraocular pressure (IOP), is a primary concern because it is one of the main risk factors for glaucoma. In fact, the prevalence of primary open-angle glaucoma (POAG), the most common form of glaucoma, is higher with increasing IOP.

Eye pressure is measured in millimeters of mercury (mm Hg). Normal eye pressure ranges from 10-21 mm Hg. Elevated IOP is a pressure of greater than 21 mm Hg. The term ocular hypertension (OHT) refers to any situation in which IOP is higher than normal.

Glaucoma suspect describes a person with one or mor...

Read the Adult Glaucoma Suspect article »


Read What Your Physician is Reading on Medscape

Glaucoma, Low Tension »

Low-tension glaucoma (LTG) is a chronic optic neuropathy that affects adults.

Read More on Medscape Reference »

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