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What is Ocular Hypertension?

Ocular hypertension refers to elevated pressure within the eye (intraocular pressure) that is higher than normal but without any signs of optic nerve damage or vision loss typical of glaucoma.

The eye produces a clear fluid called aqueous humor that normally drains out, maintaining a healthy pressure level. When this drainage system is disrupted, fluid builds up, causing pressure to increase within the eye.

Side Effects of Ocular Hypertension

While ocular hypertension itself does not typically cause symptoms or vision changes, prolonged high pressure can lead to an increased risk of developing glaucoma—a serious eye condition that can result in irreversible vision loss if left untreated.

Therefore, regular monitoring and early intervention are crucial to prevent potential complications.

How is Ocular Hypertension Diagnosed?

Diagnosis of ocular hypertension involves a comprehensive eye exam, which includes measuring intraocular pressure using a device called a tonometer. Your eye care specialist will also examine the optic nerve for any signs of damage and assess your visual field to rule out glaucoma.

Potential Treatment of Ocular Hypertension

Treatment for ocular hypertension aims to lower intraocular pressure to reduce the risk of developing glaucoma. The approach may include:

  • Medication: Eye drops are commonly prescribed to decrease intraocular pressure by either reducing fluid production or increasing its outflow from the eye.
  • Laser Treatment: Selective laser trabeculoplasty (SLT) is a procedure that can help improve the drainage of fluid from the eye, thereby lowering intraocular pressure.
  • Surgical Interventions: In some cases, surgical procedures like trabeculectomy or implanting drainage devices may be recommended to manage intraocular pressure effectively.


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