Artikel
Glaucoma in systemic diseases
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Veröffentlicht: | 22. September 2004 |
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Gliederung
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Systemic diseases can play a crucial role for the incidence and progression of glaucoma. Inflammatory infective or non-infective systemic diseases causing glaucoma may be often effectively treated by antibiotics or steroid or a combination of both thus limiting progression of glaucoma. However, drug-induced side effects (f.e., steroid-induced glaucoma) have to be considered. Several studies have demonstrated that diabetes mellitus and arterial hypotension are contributing risk factors to progressive glaucomatous damage in adult open-angle glaucoma. Rare congenital syndromes associated with glaucoma display different mechanisms of intraocular pressure increase. There are closed-angle glaucomas in microphthalmia (Hallermann-Streiff), pupillary block situations in spherophakia (Weill-Marchesani) or different mechanisms as in Marfan´s syndrome. Management of these patients in specialized tertiary centres seems justified.