Hyperproduction glaucoma.

Abstract

Hyperproduction glaucoma is a tonographic clinical entity characterized by high IOP and normal C: 1. It may occur as open angle glaucoma spontaneously or pharmacologically induced. 2. It may be an inflammatory ocular hypertension characterized by a breakdown of the blood-aqueous barrier. The treatment of choice is topical and/or systemic drugs such as epinephrine and acetazolamide which inhibit aqueous inflow; glucocorticoids should be added in cases of the inflammatory type. The pathogenesis is directly related to hyperproduction of aqueous, depending chiefly on increased capillary hydrostatic pressure at the level of the ciliary body.