Tarun Arora1, Shveta Jindal Bali2, Vishal Arora1, Meenakshi Wadhwani1, Anita Panda1, Tanuj Dada3. 1. Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India. 2. Ivey Eye Institute, Schulich School of Medicine and Dentistry, London, ON, Canada. 3. Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India. Electronic address: tanujdada@gmail.com.
Abstract
PURPOSE: To evaluates the role of measuring intraocular pressure (IOP) outside office-hour in primary adult onset glaucoma. METHODS: This retrospective study included 100 cases of primary adult onset glaucoma. IOP readings obtained with Goldmann applanation tonometry between 7 am and 10 pm were compared to office-hour readings. RESULTS: One hundred patients were enrolled (mean age: 58.64 ± 10.98 years) in the study. Overall, mean diurnal IOP was significantly higher than mean office IOP (p < 0.05). Two-thirds of the patients had peak IOP measurements outside office-hour. Mean diurnal IOP fluctuation (7.03 ± 2.69 mm Hg) was significantly higher than mean office IOP fluctuation (4.31 ± 2.6 mm Hg) (p < 0.003). There was a significant correlation between baseline IOP and fluctuation in IOP (r = 0.61, p<0.001). CONCLUSION: The mean diurnal IOP and IOP fluctuations were higher than office-hour readings in patients with primary adult onset glaucoma. Diurnal monitoring may be particularly useful in patients with high baseline IOP.
PURPOSE: To evaluates the role of measuring intraocular pressure (IOP) outside office-hour in primary adult onset glaucoma. METHODS: This retrospective study included 100 cases of primary adult onset glaucoma. IOP readings obtained with Goldmann applanation tonometry between 7 am and 10 pm were compared to office-hour readings. RESULTS: One hundred patients were enrolled (mean age: 58.64 ± 10.98 years) in the study. Overall, mean diurnal IOP was significantly higher than mean office IOP (p < 0.05). Two-thirds of the patients had peak IOP measurements outside office-hour. Mean diurnal IOP fluctuation (7.03 ± 2.69 mm Hg) was significantly higher than mean office IOP fluctuation (4.31 ± 2.6 mm Hg) (p < 0.003). There was a significant correlation between baseline IOP and fluctuation in IOP (r = 0.61, p<0.001). CONCLUSION: The mean diurnal IOP and IOP fluctuations were higher than office-hour readings in patients with primary adult onset glaucoma. Diurnal monitoring may be particularly useful in patients with high baseline IOP.
Authors: Eve J Higginbotham; Mae O Gordon; Julia A Beiser; Michael V Drake; G Richard Bennett; M Roy Wilson; Michael A Kass Journal: Arch Ophthalmol Date: 2004-06
Authors: Mani Baskaran; Rajesh S Kumar; Chitra V Govindasamy; Hla Myint Htoon; Ching-Yee Wong; Shamira A Perera; Tina T L Wong; Tin Aung Journal: Ophthalmology Date: 2009-10-22 Impact factor: 12.079
Authors: John E Markert; Jessica V Jasien; Daniel C Turner; Carrie Huisingh; Christopher A Girkin; J Crawford Downs Journal: Invest Ophthalmol Vis Sci Date: 2018-09-04 Impact factor: 4.799
Authors: Jan Osmers; Oskar Hoppe; Alicja Strzalkowska; Piotr Strzalkowski; Ágnes Patzkó; Stefan Arnold; Michael Sorg; Andreas Fischer Journal: Transl Vis Sci Technol Date: 2020-08-10 Impact factor: 3.283