Twenty-four-hour ocular perfusion pressure in primary open-angle glaucoma
- 1Department of Ophthalmology, University of Campinas, Campinas, Brazil
- 2Department of Ophthalmology, Associacion para Evitar la Ceguera, Mexico City, Mexico
- 3Department of Ophthalmology, Indiana University, Indianapolis, Indiana, USA
- Correspondence to Dr Vital P Costa, Department of Ophthalmology, University of Campinas, Campinas, Rua Bahia, 1087 apto 21., São Paulo, SP 01244-001, Brazil;
- Accepted 14 February 2010
- Published Online First 1 June 2010
Aim To compare the 24 h intraocular pressure (IOP), blood pressure (BP), and perfusion pressure (PP) of primary open-angle glaucoma (POAG) patients and healthy individuals.
Methods 24 healthy individuals and 29 POAG patients underwent IOP and BP measurements every 2 h, starting at 08:00 until 06:00 of the next morning. IOP measurements were made by a masked observer with a Goldmann tonometer at the slit-lamp from 08:00 to 22:00 and with the Perkins tonometer in supine position from 24:00 to 06:00. Systolic and diastolic BP (SBP and DBP) measurements were performed with an automated device.
Results Mean IOPs in POAG patients were significantly higher at all time intervals (p<0.001). The mean SBP was significantly higher in POAG patients from 04:00 to 10:00, and also at 14:00 and 18:00 (p<0.05). In POAG patients, the mean DBP was significantly higher at 08:00 and 10:00, but was significantly lower at 04:00 (p<0.05). In POAG patients, the mean systolic perfusion pressure (SPP) was significantly higher at 08:00 and 10:00 (p<0.01), whereas the mean diastolic perfusion pressure (DPP) was significantly lower from 24:00 to 06:00 (p<0.05).
Conclusion Although higher SPPs are observed in POAG patients during the morning, lower DPPs are found during the night.
Linked articles: 182527.
This study was presented in part at 2009 ARVO.
Funding Merck, Sharp & Dhome.
Competing interests None.
Patient consent Obtained.
Ethics approval Ethics approval was provided by the IRB Asociaion para Evitar la Ceguera.
Provenance and peer review Not commissioned; externally peer reviewed.