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Normal tension glaucoma: from the brain to the eye or the inverse?

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Author:: No author available

Journal Title:: Neural Regeneration Research

Issue:: 11

DOI:: 10.4103/1673-5374.259600

Key Word:: nerve regeneration;normal tension glaucoma;open angle glaucoma;neurodegenerative diseases;visual field;cerebrospinal fluid pressure;imaging techniques;pathogenesis;magnetic resonance imaging;diffusion tensor imaging;metabolic changes;neural regeneration

Abstract： Glaucoma is a chronic, progressive optic neuropathy characterized by the loss of peripheral vision first and then central vision. Clinically, normal tension glaucoma is considered a special subtype of glaucoma, in which the patient’s intraocular pressure is within the normal range, but the patient experiences typical glau-comatous changes. However, increasing evidence has challenged the traditional pathophysiological view of normal tension glaucoma, which is based only on intraocular pressure, and breakthroughs in central ner-vous system imaging may now greatly increase our knowledge about the mechanisms underlying normal tension glaucoma. In this article, we review the latest progress in understanding the pathogenesis of normal tension glaucoma and in developing imaging techniques to detect it, to strengthen the appreciation for the connection between normal tension glaucoma and the brain.

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