Demonstrates sustained nocturnal blood pressure drops in glaucoma patients with rapid optic nerve damage despite controlled eye pressure, highlighting systemic hypotension as a critical risk factor.
Four glaucoma patients with rapid progression of visual field damage and excavation of the optic nerve head despite normal or well-controlled intraocular pressure had one factor in common: low systemic blood pressure. Furthermore, when monitored during 24 h, a sustained blood pressure drop during sleep was always observed. Systemic hypotension, therefore, might be a significant risk factor for glaucomatous damage. The authors recommend measuring the blood pressure frequently in such patients, especially at night.
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Kaiser et al. (2010) studied this question.
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