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COMMENTS AND OPINIONS
Long-term Intraocular Pressure Fluctuations and Progressive Visual Field Deterioration in Patients With Glaucoma: Which Comes First?—Reply
Samin Hong, MD;
Gong Je Seong, MD, PhD;
Chan Yun Kim, MD, PhD;
Young Jae Hong, MD, PhD
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In reply
We thank Dr Miglior for his interest in our article. He wants to see our paper from a different angle, but unfortunately he misconstrues our approach to the problem.
We are concerned whether glaucoma patients who had a large long-term IOP fluctuation are at risk of increased VF deterioration as compared with those who do not. When one performs a certain analysis including all patients without regard to IOP levels, one must be not free from the influence of elevated IOP. Accordingly, we selected only those patients always maintained with low IOPs (below 18 mm Hg) and excluded other patients.1-2 It is not true that none of our patients showed progressive VF defects because we performed intense IOP-lowering therapy.3
In addition, our point was that a long-term IOP fluctuation is . . . [Full Text of this Article]
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RELATED ARTICLE
Long-term Intraocular Pressure Fluctuation and Progressive Visual Field Deterioration in Patients With Glaucoma and Low Intraocular Pressures After a Triple Procedure
Samin Hong, Gong Je Seong, and Young Jae Hong
Arch Ophthalmol. 2007;125(8):1010-1013.
ABSTRACT
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RELATED LETTER
Long-term Intraocular Pressure Fluctuations and Progressive Visual Field Deterioration in Patients With Glaucoma: Which Comes First?
Stefano Miglior
Arch Ophthalmol. 2008;126(11):1609.
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