[Glaucoma with low intraocular pressure--diagnosis and treatment]

The author examined 23 patients (46 eyes) with peripheral blood vessels diseases and non-characteristic ocular complaints, which has been lasted for 3-7 years (mean 4.3) and were treated as conjunctivitis. Diagnosis of low-tension glaucoma was made basing on the following signs: normal intraocular pressure, open angle, distinctly abnormal outflow facility coefficient, typical for glaucoma changes in visual field and glaucomatous excavation of the optic disc. The typical treatment with timolol and pilocarpine was applied and additionally resistant cases calcium channel blockers. The control examination after mean follow-up of 22 months revealed that in all patients, subjective symptoms subsided and a statistically significant lowering of the intraocular pressure, as well as an improvement of the outflow facility coefficient and visual field were observed. In no patient the state of the fundus was deteriorated. These results are comparable with the data from literature.