Academic Journal

Clinical implications of lowering episcleral venous pressure in the management of glaucoma and the use of Rho kinase inhibitors

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Clinical implications of lowering episcleral venous pressure in the management of glaucoma and the use of Rho kinase inhibitors
Συγγραφείς: Sit, AJ, Aihara, M, Khawaja, AP, Lin, SC, Mansouri, K, Miki, A, Park, KH, Pfeiffer, N, Weinreb, RN
Πηγή: Survey of Ophthalmology (2025) (In press).
Έτος έκδοσης: 2025
Συλλογή: University College London: UCL Discovery
Θεματικοί όροι: Episcleral venous pressure, EVP, Glaucoma, Netarsudil, Ripasudil, ROCK inhibition, Aqueous humor outflow, IOP lowering
Περιγραφή: There has been limited success in both measuring and modifying episcleral venous pressure (EVP) in clinical practice. Understanding the potential role of EVP in the management of glaucoma for different patients may allow for more individualized treatment approaches. To explore the clinical implications of lowering EVP, an international group of 9 glaucoma experts (the ENGAGE Global Expert Working Group) convened to bridge the gap between the current literature and evidence with clinical opinion and best practices. This review summarizes insights from the group on the effect of current medical therapies on EVP and its potential impact. It also discusses unmet investigational needs to enhance the understanding of EVP, as well as the challenges associated with the measurement and treatment of EVP. Regardless of the relatively modest EVP reductions achieved with current treatments, EVP lowering may have clinical significance in patients with glaucoma, particularly those with low intraocular pressure (IOP). Those who might benefit include patients with elevated EVP; normal-tension glaucoma; undergoing trabecular meshwork bypass surgery, goniotomy, or selective laser trabeculoplasty; or requiring additional IOP lowering to the low teens or with a lower-than-usual target IOP.
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: application/pdf
Γλώσσα: English
Relation: https://discovery.ucl.ac.uk/id/eprint/10207398/
Διαθεσιμότητα: https://discovery.ucl.ac.uk/id/eprint/10207398/1/1-s2.0-S0039625725000529-main.pdf
https://discovery.ucl.ac.uk/id/eprint/10207398/
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  – Url: https://discovery.ucl.ac.uk/id/eprint/10207398/1/1-s2.0-S0039625725000529-main.pdf#
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  Data: Clinical implications of lowering episcleral venous pressure in the management of glaucoma and the use of Rho kinase inhibitors
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  Data: <searchLink fieldCode="AR" term="%22Sit%2C+AJ%22">Sit, AJ</searchLink><br /><searchLink fieldCode="AR" term="%22Aihara%2C+M%22">Aihara, M</searchLink><br /><searchLink fieldCode="AR" term="%22Khawaja%2C+AP%22">Khawaja, AP</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+SC%22">Lin, SC</searchLink><br /><searchLink fieldCode="AR" term="%22Mansouri%2C+K%22">Mansouri, K</searchLink><br /><searchLink fieldCode="AR" term="%22Miki%2C+A%22">Miki, A</searchLink><br /><searchLink fieldCode="AR" term="%22Park%2C+KH%22">Park, KH</searchLink><br /><searchLink fieldCode="AR" term="%22Pfeiffer%2C+N%22">Pfeiffer, N</searchLink><br /><searchLink fieldCode="AR" term="%22Weinreb%2C+RN%22">Weinreb, RN</searchLink>
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  Data: Survey of Ophthalmology (2025) (In press).
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  Data: 2025
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  Data: University College London: UCL Discovery
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  Data: <searchLink fieldCode="DE" term="%22Episcleral+venous+pressure%22">Episcleral venous pressure</searchLink><br /><searchLink fieldCode="DE" term="%22EVP%22">EVP</searchLink><br /><searchLink fieldCode="DE" term="%22Glaucoma%22">Glaucoma</searchLink><br /><searchLink fieldCode="DE" term="%22Netarsudil%22">Netarsudil</searchLink><br /><searchLink fieldCode="DE" term="%22Ripasudil%22">Ripasudil</searchLink><br /><searchLink fieldCode="DE" term="%22ROCK+inhibition%22">ROCK inhibition</searchLink><br /><searchLink fieldCode="DE" term="%22Aqueous+humor+outflow%22">Aqueous humor outflow</searchLink><br /><searchLink fieldCode="DE" term="%22IOP+lowering%22">IOP lowering</searchLink>
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  Data: There has been limited success in both measuring and modifying episcleral venous pressure (EVP) in clinical practice. Understanding the potential role of EVP in the management of glaucoma for different patients may allow for more individualized treatment approaches. To explore the clinical implications of lowering EVP, an international group of 9 glaucoma experts (the ENGAGE Global Expert Working Group) convened to bridge the gap between the current literature and evidence with clinical opinion and best practices. This review summarizes insights from the group on the effect of current medical therapies on EVP and its potential impact. It also discusses unmet investigational needs to enhance the understanding of EVP, as well as the challenges associated with the measurement and treatment of EVP. Regardless of the relatively modest EVP reductions achieved with current treatments, EVP lowering may have clinical significance in patients with glaucoma, particularly those with low intraocular pressure (IOP). Those who might benefit include patients with elevated EVP; normal-tension glaucoma; undergoing trabecular meshwork bypass surgery, goniotomy, or selective laser trabeculoplasty; or requiring additional IOP lowering to the low teens or with a lower-than-usual target IOP.
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  Data: https://discovery.ucl.ac.uk/id/eprint/10207398/
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  Data: https://discovery.ucl.ac.uk/id/eprint/10207398/1/1-s2.0-S0039625725000529-main.pdf<br />https://discovery.ucl.ac.uk/id/eprint/10207398/
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RecordInfo BibRecord:
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    Languages:
      – Text: English
    Subjects:
      – SubjectFull: Episcleral venous pressure
        Type: general
      – SubjectFull: EVP
        Type: general
      – SubjectFull: Glaucoma
        Type: general
      – SubjectFull: Netarsudil
        Type: general
      – SubjectFull: Ripasudil
        Type: general
      – SubjectFull: ROCK inhibition
        Type: general
      – SubjectFull: Aqueous humor outflow
        Type: general
      – SubjectFull: IOP lowering
        Type: general
    Titles:
      – TitleFull: Clinical implications of lowering episcleral venous pressure in the management of glaucoma and the use of Rho kinase inhibitors
        Type: main
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            NameFull: Sit, AJ
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            NameFull: Aihara, M
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            NameFull: Khawaja, AP
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            NameFull: Lin, SC
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            NameFull: Mansouri, K
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            – D: 01
              M: 01
              Type: published
              Y: 2025
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          Titles:
            – TitleFull: Survey of Ophthalmology (2025) (In press
              Type: main
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