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Intraocular Pressure

By Mr Tarun Sharma, Consultant Glaucoma Surgeon  ·  First published 2014
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About this leaflet

Mr Tarun Sharma wrote this leaflet in 2014 for patients of the Worcestershire glaucoma service. Some details, such as the names of medicines, what is available, or the figures quoted, may have changed since it was written. Your own eye clinic's advice always comes first.

This is the text Emma answers from, so dose amounts are left out on purpose. See the original leaflet.

Elevated intraocular pressure (high pressure within the eye) is the number one risk factor for glaucoma. However, elevated intraocular pressure (IOP) does not always cause glaucoma. The average eye pressure in adults ranges between 10 mm Hg and 21 mm Hg (“mm Hg” stands for “millimeters of mercury”). There can be a significant difference in your IOP throughout the course of a day. This variation is known as diurnal fluctuation. We know that many patients with IOP in the 20s do not develop glaucoma. Up to 50% of patients diagnosed with glaucoma have an initial pressure reading lower than 22 mm Hg. Intraocular pressure is not a very sensitive tool for diagnosing glaucoma, but it becomes very useful in monitoring treatment for glaucoma.

A variety of methods can be used to check the intraocular pressure, but the most common is applanation tonometry. Your ophthalmologist will often set a “target” pressure for you and will work hard to keep the pressure at or below that target to help preserve your vision.

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A note on what Emma is. Emma provides general information and support for people living with glaucoma. She is not a medical device and does not diagnose, treat, or give personalised medical advice. Always follow the guidance of your own doctor or eye-care professional, and seek urgent care for any sudden change in your vision.
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