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Glaucoma: Overview01:25

Glaucoma: Overview

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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Adrenal Gland Disorders01:27

Adrenal Gland Disorders

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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
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Hypothalamic-Pituitary Axis01:37

Hypothalamic-Pituitary Axis

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The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
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Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

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Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
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Related Experiment Video

Updated: Jan 3, 2026

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

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Endogenous hypercortisolism inducing reversible ocular hypertension.

Shane Griffin1, Timothy Boyce1, Beth Edmunds1

  • 1Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, Portland, OR, USA.

American Journal of Ophthalmology Case Reports
|November 27, 2019
PubMed
Summary
This summary is machine-generated.

Elevated intraocular pressure (IOP) due to endogenous hypercortisolism, such as Cushing's syndrome, can be fully reversible. Normalizing cortisol levels resolved ocular hypertension in two patients, suggesting trabecular meshwork changes may also reverse.

Keywords:
Cushing's syndromeEndogenous hypercortisolismGlaucomaGlucocorticoidOcular hypertensionTrabecular meshwork

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Area of Science:

  • Endocrinology
  • Ophthalmology
  • Internal Medicine

Background:

  • Endogenous hypercortisolism, including Cushing's syndrome, can manifest with various systemic and ocular complications.
  • Elevated intraocular pressure (IOP) is a recognized, though less common, manifestation of hypercortisolism.

Observation:

  • Two patients with Cushing's syndrome presented with elevated IOP and blurred vision.
  • Ophthalmic examinations revealed high IOP and, in one case, disc edema.
  • Both patients were diagnosed with endogenous hypercortisolism and underwent treatment for their condition.

Findings:

  • Treatment for Cushing's syndrome, including surgical resection of pituitary adenomas or adrenalectomy, led to the resolution of hypercortisolism.
  • Following normalization of cortisol levels, both patients experienced a complete resolution of ocular hypertension (OHT).
  • Patients were able to discontinue IOP-lowering medications with sustained normal IOPs.

Implications:

  • Ocular hypertension secondary to endogenous hypercortisolism is potentially reversible.
  • These findings suggest that the ocular hypertensive effects of excess cortisol on the trabecular meshwork may be transient and fully reversible upon treatment.
  • Highlights the importance of considering endocrine disorders in the differential diagnosis of unexplained ocular hypertension.