The diagnostic value of loading and unloading glaucoma stress tests
https://doi.org/10.25700/NJG.2019.03.07
Abstract
The literature review provides the information on loading and unloading stress tests, which could be useful for early glaucoma diagnosis in absence of its regular clinical signs. The mechanism of tests for primary angle closure glaucoma diagnosis and risk of intraocular pressure (IOP) elevation in anterior chamber angle closure diagnosis is emphasized. The development history and clinical acceptance is described. Considering the undulating way of IOP elevation in primary angle closure glaucoma, the stress tests for latent disease diagnosis are of high importance. This enables us to discover the risk of glaucomatous optic nerve progression early and prevent it (at first, to perform the laser iridectomy).
The features and mechanisms of most common loading stress tests are given, including the Hyams prone test, based on provocation of pupillary and angular block development and IOP elevation while supervised by physician. The unloading tests, based on pilocarpine, acetazolamide and glycerascorbate, based on the opposite mechanism and utilized when loading stress tests are considered dangerous, are also described.
About the Author
K. H. Hadiri
Scientific Research Institute of Eye Diseases
Russian Federation
Russian Federation
postgraduate
11А Rossolimo st., Moscow, 119021
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Review
For citations:
Hadiri K.H. The diagnostic value of loading and unloading glaucoma stress tests. National Journal glaucoma. 2019;18(3):61-66. (In Russ.) https://doi.org/10.25700/NJG.2019.03.07
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