[A differentiated approach to the treatment of normal-pressure glaucoma]

Seventy patients with normal pressure glaucoma (NPG) were treated on the differential basis with respect to a pathogenetic disease type. The suggested complex therapy of the ischemic variation improves both the microcirculation in the optic nerve disk (OND) by administering different-effect drugs in long courses and the systemic hemodynamics (practitioners of needed skills are involved). The use of local antihypertensive drug to reduce the intraocular pressure to an individual tolerable value is important in the treatment of patients with tension-ischemic glaucoma. The process stabilized in 75.8 +/- 3.9% of patients in the main group and in 47 +/- 8.5% of patients in the control group (p < 0.05) after a follow-up of up to 2.5 years.