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Those with rapidly progressive glaucoma (PG) worsening may show a greater increase in optic cup volume (OCV) with elevated IOP. Methods:?POAG patients were recruited through glaucoma clinics at the Flinders Medical Centre (n?=?60)(24?GS, 24 with stable glaucoma (SG), and 12?PG). Patients underwent IOP measurement and OCV assessment using optical coherence tomography. Two drops of Ibopamine 2% solution was instilled into the study eye of each patient. After 45 minutes, IOP and OCV were re-assessed. Dinaciclib Changes from baseline were determined and compared between groups. Results:?IOP at baseline was similar between the groups, but following the ibopamine challenge, IOP increased by 1.9?mmHg for GS patients, 4.9?mmHg for SG patients (P?=?0.003) and 8.3?mmHg for PG patients (P?