A Case Report of a Patient with Normal tension glaucoma

Article information

J Korean Med. 2025;46(1):154-166

Publication date (electronic) : 2025 March 01

doi : https://doi.org/10.13048/jkm.25011

Han gioen ¹^,

, Kang Eunjeong ²

¹Hunga Korean Medicine Clinic

²Risam Korean Medicine Clinic

Correspondence to: Han gioen, Hunga Korean Medicine Clinic. Sane, 10-gil, Jochiwon-eup, Seojong-si, Republic of Korea, Tel: +82-10-4422-9902, Fax: +82-0303-3442-1070, E-mail: hangi60@hanmail.net

Received 2024 October 3; Revised 2024 December 24; Accepted 2025 February 14.

Abstract

This is a case report on a patient in their early 60s who had been experiencing progressive normal-tension glaucoma in the left eye for 10 years. From June 2022, the patient was treated with prescriptions based on the Sanghanlon(Treatise on Sanghan) for two years. Six months after beginning treatment with this approach, the patient started receiving diagnoses from a local ophthalmology clinic indicating no further progression of glaucoma. This outcome was confirmed four times until May 2024, showing that the progression of glaucoma had stopped.

Keywords: Normal tension glaucoma(NTG); Go-bang; Torticollis; Sclera; Neovacular glaucoma(NVG); OCT; Primary Open-Angle Glaucoma

Fig. 1

OCT reports

OCT, Optical Coherence Tomography; ONH, Optic nerve head; OU, oculus uterque,; GCIPL, Ganglion cells inner plexiform layer

Fig. 2

Neovacular glaucoma

Fig. 3

Eye of patient with early glaucoma intraocular pressure26

Fig. 4

dry eye syndrome pupils suffering for many years

Fig. 5

Images of the Conjunctiva

Table 1

2022 Treatment Prescription

Table 2

2023 Treatment Prescription

Table 3

2024 Treatment Prescription

Table 4

Composition of the Prescription

Table 5

Body Heat(°C)

Table 6

C/D Ratio&Total RNFL results of Right eye

Table 7

C/D Ratio&Total RNFL results of Left eye

References

1. The society of Korean medicine Ophthalmology, Otolaryngology & Dermatology. 2022. Text of Traditional Korean Dermatology & Surgery Seoul: Globooks. p. 149–53.

2. Kim YY., Hwang YH.. All About Glaucoma. 2020. New Diagnostics and Treatment korea uni. publishing house. p. 29–31.

3. Kim HS., Kim HM., Seong GJ., Yu YS.. 2020. Text of Ophtahlmology Seoul: Ilchokak. p. 297–340.

4. Health Insurance Review and Assessment Service (HIRA). 2021. Diseases in daily life. Statistics of medical treatment activities publication registration number G000EPI-2021-163 [serial online] 2021. Dec. [citied 2021 Dec. 23]. 1(1)Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo=4&brdBltNo=2361&pageIndex=1&pageIndex2=1.

5. Han GE., Kang EJ.. 2023;A Case Report of Acute Angle Closure Glaucoma Patient Treated with Go-bang (Case Report). J Korean Med 44(2):170–80. https://doi.org/10.13048/jkm.23023.

6. Han GE., Kang EJ., Lee GS.. 2023;A Case of Korean Herbal Medicine Treatment for Normal Tension Glaucoma using Go-Bang. J Korean Med 44(3):102–116. https://doi.org/10.13048/jkm.23034.

7. Yakjing Yoshimasu todo original. 2021;Kim, Jong-oh Mulgogisup :54–362.

8. Choi YA., Joo BC.. 2018;Retinal Nerve Fiber Layer Thickness Messured by Spectral Domain Optical Coherence Tomohrapy in Healthy Koreans. J Korean Ophthalamol Soc 59(6):537–42. https://doi.org/10.3341/jkos.2018.59.6.537.

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