[Management of primary open angle glaucoma by paying attention to monitor intraocular pressure fluctuations].

Higher intraocular pressure (IOP) is a risk factor for the development and progression of glaucomatous neuropathy. Increasing attention has been brought to IOP fluctuation in patients with primary open angle glaucoma (POAG) in recent years. IOP fluctuations include short-term (24-hour IOP fluctuations) and long-term fluctuations, which may contribute to the progression of glaucoma. It is a big challenge for ophthalmologists in their busy daily clinical practice to deal with IOP fluctuation in patients with POAG. In this paper, the research progress in IOP fluctuation of POAG and its relationship with glaucomatous neuropathy was reviewed. Furthermore, how to monitor by useful measures and manage IOP fluctuation by effective medication were discussed.