Ocular pulse amplitude and visual field changes in patients diagnosed with aortic regurgitation.
Aortic regurgitation
Diurnal intraocular pressure
Ocular pulse amplitude
Pascal dynamic contour tonometry
Visual field
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
07
11
2021
accepted:
20
08
2022
medline:
29
3
2023
pubmed:
5
9
2022
entrez:
4
9
2022
Statut:
ppublish
Résumé
To examine whether there is a relationship between ocular pulse amplitude (OPA), intraocular pressure (IOP), and visual field (VF) deterioration among the patients diagnosed with aortic regurgitation (AR). Twenty-nine patients (average age of 62.06 ± 13.27 years) with AR diagnosis without glaucoma history as AR group and 32 healthy participants (average age 63.81 ± 6.42 years) as control group were included in the study. Routine ophthalmologic examination including VF test [mean deviation (MD), pattern standard deviation (PSD) and VF index (VFI) values were recorded], diurnal IOP and OPA measurements with Pascal dynamic contour tonometry (DCT) was conducted on the patients. VF deficits were classified by Glaucoma Staging System 2 (GSS 2) score. Sixteen (50.0%) of 32 healthy subjects and 14 (48.3%) of 29 AR patients were female (p = 1.000). The measurement conducted at 15:30 among the diurnal IOP measurements performed with the Pascal DCT was found to be statistically significantly higher in the AR group (p = 0.009). While the MD and PSD values of the group diagnosed with AR were determined to be statistically significantly high, the VFI value was found to be significantly low. When the healthy cases and the patients diagnosed with AR were compared, it was observed that there was a statistically significant positive correlation in terms of the significant GSS 2 stage (p < 0.001). Although there was no significant increase in IOP, VF deficits were detected in patients with AR. These VF pathologies may be due to the ocular perfusion disorder in AR. However, additional comprehensive studies that also examine perfusion are needed to further confirm this.
Identifiants
pubmed: 36057917
doi: 10.1007/s10792-022-02488-y
pii: 10.1007/s10792-022-02488-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
859-866Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature B.V.
Références
Tham YC, Li X, Wong TY et al (2014) Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 121:2081–2090
doi: 10.1016/j.ophtha.2014.05.013
pubmed: 24974815
Anderson DR (1996) Glaucoma, capillaries and pericytes. 1 Blood flow regulation. Ophtalmologica 210:257–262
doi: 10.1159/000310722
Sommer A, Tielsch JM, Katz J et al (1991) Relationship between intraocular pressure and primary open angle glaucoma among white and black Americans. Baltim Eye Surv Arch Ophthalmol 109:1090–1095
Mozaffarieh M, Flammer J (2013) New insights in the pathogenesis and treatment of normal tension glaucoma. Curr Opin Pharmacol 13:43–49
doi: 10.1016/j.coph.2012.10.001
pubmed: 23092679
Yaqub M (2012) Visual fields interpretation in glaucoma: a focus on static automated perimetry. Community Eye Health 25:1–8
pubmed: 23840075
Tang KS, Medeiros ED, Shah AD (2020) Wide pulse pressure: a clinical review. J Clin Hypertens (Greenwich) 22:1960–1967
doi: 10.1111/jch.14051
pubmed: 32986936
Patibandla S, Heaton J, Azzam JS (2021) Aortic Insufficiency. 2021 May 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
Nishimura RA, Otto CM, Bonow RO et al (2014) 2014 AHA/ACC Guideline for the management of patients with valvular heart disease: a report of the American college of cardiology/American heart association task force on practice guidelines. Circulation 129:e521-643
pubmed: 24589853
Dart AM (2017) Should pulse pressure influence prescribing? Aust Prescr 40:26–29
doi: 10.18773/austprescr.2017.006
pubmed: 28246433
pmcid: 5313243
Tielsch JM, Katz J, Sommer A et al (1995) Hypertension, perfusion pressure, and primary open-angle glaucoma. A population-based assessment. Arch Ophthalmol 113:216–221
doi: 10.1001/archopht.1995.01100020100038
pubmed: 7864755
Bonomi L, Marchini G, Marraffa M et al (2000) Vascular risk factors for primary open angle glaucoma: the Egna-Neumarkt study. Ophthalmology 107:1287–1293
doi: 10.1016/S0161-6420(00)00138-X
pubmed: 10889099
Hulsman CA, Vingerling JR, Hofman A et al (2007) Blood pressure, arterial stiffness, and open-angle glaucoma: the Rotterdam study. Arch Ophthalmol 125:805–812
doi: 10.1001/archopht.125.6.805
pubmed: 17562992
Özcura F, Yildirim N, Şahin A et al (2015) Comparison of goldmann applanation tonometry, rebound tonometry and dynamic contour tonometry in normal and glaucomatous eyes. Int J Ophthalmol 8:299–304
pubmed: 25938044
pmcid: 4413589
Wang M, Hood DC, Cho JS et al (2009) Measurement of local retinal ganglion cell layer thickness in patients with glaucoma using frequency-domain optical coherence tomography. Arch Ophthalmol 127:875–881
doi: 10.1001/archophthalmol.2009.145
pubmed: 19597108
pmcid: 2987580
Nasemann JE, Carl T, Pamer S et al (1994) Perfusionszeit der A. centralis retinae bei Normaldruckglaukom. Erste Ergebnisse [Perfusion time of the central retinal artery in normal pressure glaucoma. Initial results]. Ophthalmologe 91:595–601
pubmed: 7812090
Sato EA, Ohtake Y, Shinoda K et al (2006) Decreased blood flow at neuroretinal rim of optic nerve head corresponds with visual field deficit in eyes with normal tension glaucoma. Graefes Arch Clin Exp Ophthalmol 244:795–801
doi: 10.1007/s00417-005-0177-2
pubmed: 16315043
Lancellotti P, Tribouilloy C, Hagendorff A et al (2010) European association of echocardiography recommendations for the assessment of valvular regurgitation. Part 1: aortic and pulmonary regurgitation (native valve disease). Eur J Echocardiogr 11:223–244
doi: 10.1093/ejechocard/jeq030
pubmed: 20375260
Ashrafian H (2006) Pulsatile pseudo-proptosis, aortic regurgitation and 31 eponyms. Int J Cardiol 107:421–423
doi: 10.1016/j.ijcard.2005.01.060
pubmed: 16503268
Saini A, Mathur K, Kalahasty G (2017) ’Landolfi’s Sign’-eyes don’t see what the mind does not know! Am J Med 130:531–532
doi: 10.1016/j.amjmed.2017.05.045
Leske MC, Heijl A, Hyman L et al (2007) Predictors of long-term progression in the early manifest glaucoma trial. Ophthalmology 114:1965–1972
doi: 10.1016/j.ophtha.2007.03.016
pubmed: 17628686
Bill A (1973) The role of ciliary body blood flow and ultrafiltration in aqueous humor formation. Exp Eye Res 16:287–298
doi: 10.1016/0014-4835(73)90094-8
pubmed: 4741255
Moore D, Harris A, Wudunn D et al (2008) Dysfunctional regulation of ocular blood flow: A risk factor for glaucoma? Clin Ophthalmol 2:849–861
pubmed: 19668439
pmcid: 2699797
Lee NY, Jung Y, Han K et al (2017) Fluctuation in systolic blood pressure is a major systemic risk factor for development of primary open-angle glaucoma. Sci Rep 7:43734
doi: 10.1038/srep43734
pubmed: 28262703
pmcid: 5338023
Okumura Y, Yuki K, Tsubota K (2012) Low diastolic blood pressure is associated with the progression of normal-tension glaucoma. Ophthalmologica 228:36–41
doi: 10.1159/000335978
pubmed: 22377835
Lee SU, Park HS, Kim BJ et al (2020) Association of dipping status of blood pressure, visual field defects, and retinal nerve fiber layer thickness in patients with normotensive glaucoma. Medicine (Baltimore) 99:e23565
doi: 10.1097/MD.0000000000023565
pubmed: 33327313
Bojikian KD, Chen CL, Wen JC et al (2016) Optic disc perfusion in primary open angle and normal tension glaucoma eyes using optical coherence tomography-based microangiography. PLoS ONE 11:e0154691
doi: 10.1371/journal.pone.0154691
pubmed: 27149261
pmcid: 4858256
Flammer J, Konieczka K, Bruno RM et al (2013) The eye and the heart. Eur Heart J 34:1270–1278
doi: 10.1093/eurheartj/eht023
pubmed: 23401492
pmcid: 3640200
Choi J, Jeong J, Cho HS et al (2006) Effect of nocturnal blood pressure reduction on circadian fluctuation of mean ocular perfusion pressure: a risk factor for normal tension glaucoma. Investig Ophthalmol Vis Sci 47:831–836
doi: 10.1167/iovs.05-1053
Choi J, Kim KH, Jeong J et al (2007) Circadian fluctuation of mean ocular perfusion pressure is a consistent risk factor for normal-tension glaucoma. Investig Ophthalmol Vis Sci 48:104–111
doi: 10.1167/iovs.06-0615
Hwang JW, Park SJ, Kim EK et al (2020) Clinical implications of exercise-induced regional wall motion abnormalities in significant aortic regurgitation. Echocardiography 37:1583–1593
doi: 10.1111/echo.14855
pubmed: 33007130