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Klin Monbl Augenheilkd 2022; 239(02): 177-181
DOI: 10.1055/a-1699-2911
Übersicht

Special Cerebral and Cerebrospinal Features in Primary Open Angle Glaucoma and Normal Tension Glaucoma

Article in several languages: deutsch | English
Hanspeter Esriel Killer
1   Departement Biomedizin, Universität Basel, Schweiz
2   Augenärztezentrum Aarau, Aarau, Schweiz
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Abstract

In addition to aqueous humour and blood, cerebrospinal fluid also plays an important part in the pathophysiology of primary open-angle glaucoma (POAG) and, in particular, normal-tension glaucoma (NTG). Apart from the important role of CSF pressure in papillary congestion, the composition of the CSF and its flow rate are relevant. CSF is in contact with the brain, the spinal canal and the optic nerve. In neurodegenerative disease, one potential pathophysiological factor, apart from an altered composition of the CSF, is a decrease in flow rate. Changes in CSF composition and flow rate have also been described in the perioptic subarachnoid space of the optic nerve in patients with normal tension glaucoma. Such findings indicate that primary open angle glaucoma and normal tension glaucoma especially, might be due to a neurodegenerative process.

Key words

normal tension glaucoma - cerebrospinal fluid - neurodegeneration - Alzheimer disease - primary open-angle glaucoma


Publication History

Received: 31 August 2021

Accepted: 14 November 2021

Article published online:
24 February 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
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