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Reversible Changes in Frequency-Doubling Perimetry With Transiently Elevated Intraocular Pressure
Arch Ophthalmol. 2004;122:1540-1543.
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Frequency-doubling technology (FDT) has been useful in screening patients for glaucoma.1 One report shows that 1 drop of unoprostone could induce improvement with FDT by lowering intraocular pressure and increasing ocular blood flow.2 We examined 1 patient with secondary glaucoma and transient rise of high intraocular pressure with FDT and with a Humphrey field analyzer (HFA) (Carl Zeiss Meditec, Inc, Dublin, Calif) for 1 year to study the effect of intraocular pressure on visual field results.
Report of a Case
A 33-year-old woman had had attacks of high intraocular pressure with slight inflammation several times in both eyes. Her visual acuity was 20/16.7 OU. Fluorescein angiography showed no abnormal findings. With maximally tolerated therapy, intraocular pressure remained higher than 40 mm Hg OS, and the patient underwent trabeculectomy in that eye. Her left intraocular pressure stayed in the 20s after surgery. Her right intraocular pressure transiently rose to higher than 40 mm Hg with . . . [Full Text of this Article]
Comment
Naoya Fujimoto, MD;
Dawei Zhang, MD;
Eiju Sato, MD;
Osamu Miyauchi, MD;
Atsushi Mizota, MD
Correspondence: Dr Fujimoto, 1-8-1 Inohana, Chuoku, Chiba 260-8670, Japan, Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University (fujimoto@faculty.chiba-u.jp).
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