Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?

T Bertelmann,1 S Langanke,1 M Potstawa,2 I Strempel11Department of Ophthalmology, Philipps-University of Marburg, Marburg, 2Section Cardiology, Internal Medicine Clinic, Schwalmstadt, GermanyAbstract: We demonstrate the close relationship between a conspicuous ocular pulse amplitude and se...

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Autores principales:	Bertelmann T, Langanke S, Potstawa M, Strempel I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8673184acd0a458982a966921cc0c30c
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spelling	oai:doaj.org-article:8673184acd0a458982a966921cc0c30c2021-12-02T11:57:15ZCan dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?1177-5483https://doaj.org/article/8673184acd0a458982a966921cc0c30c2014-07-01T00:00:00Zhttp://www.dovepress.com/can-dynamic-contour-tonometry-and-ocular-pulse-amplitude-help-to-detec-a17589https://doaj.org/toc/1177-5483 T Bertelmann,1 S Langanke,1 M Potstawa,2 I Strempel11Department of Ophthalmology, Philipps-University of Marburg, Marburg, 2Section Cardiology, Internal Medicine Clinic, Schwalmstadt, GermanyAbstract: We demonstrate the close relationship between a conspicuous ocular pulse amplitude and severe underlying cardiovascular disease. Two otherwise symptom-free glaucoma patients without any previously diagnosed underlying cardiovascular pathology but with a conspicuous ocular pulse amplitude and who underwent routine examinations in our glaucoma department were referred to the appropriate specialty for further diagnostic procedures. In both patients, the diagnosis of a tachyarrhythmia was made as suspected on dynamic contour tonometry measurements. In addition to medical treatment, one patient underwent electric cardioversion and the second patient was scheduled for pacemaker implantation. A third patient with an unexpected high ocular pulse amplitude despite severe cardiovascular pathology underwent major surgery due to an aortic aneurysm. Carotid stenosis was diagnosed due to side differences in ocular pulse amplitude as well. Ocular pulse amplitude might be a noninvasive and affordable screening tool and could be used to detect severe cardiovascular disease. A prospective study including a larger number of patients is needed to prove this hypothesis.Keywords: cardiovascular pathology, carotid occlusive disease, dynamic contour tonometry, glaucoma, ocular pulse amplitude, tachyarrhythmiaBertelmann TLanganke SPotstawa MStrempel IDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1317-1321 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Bertelmann T Langanke S Potstawa M Strempel I Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
description	T Bertelmann,1 S Langanke,1 M Potstawa,2 I Strempel11Department of Ophthalmology, Philipps-University of Marburg, Marburg, 2Section Cardiology, Internal Medicine Clinic, Schwalmstadt, GermanyAbstract: We demonstrate the close relationship between a conspicuous ocular pulse amplitude and severe underlying cardiovascular disease. Two otherwise symptom-free glaucoma patients without any previously diagnosed underlying cardiovascular pathology but with a conspicuous ocular pulse amplitude and who underwent routine examinations in our glaucoma department were referred to the appropriate specialty for further diagnostic procedures. In both patients, the diagnosis of a tachyarrhythmia was made as suspected on dynamic contour tonometry measurements. In addition to medical treatment, one patient underwent electric cardioversion and the second patient was scheduled for pacemaker implantation. A third patient with an unexpected high ocular pulse amplitude despite severe cardiovascular pathology underwent major surgery due to an aortic aneurysm. Carotid stenosis was diagnosed due to side differences in ocular pulse amplitude as well. Ocular pulse amplitude might be a noninvasive and affordable screening tool and could be used to detect severe cardiovascular disease. A prospective study including a larger number of patients is needed to prove this hypothesis.Keywords: cardiovascular pathology, carotid occlusive disease, dynamic contour tonometry, glaucoma, ocular pulse amplitude, tachyarrhythmia
format	article
author	Bertelmann T Langanke S Potstawa M Strempel I
author_facet	Bertelmann T Langanke S Potstawa M Strempel I
author_sort	Bertelmann T
title	Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
title_short	Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
title_full	Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
title_fullStr	Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
title_full_unstemmed	Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
title_sort	can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/8673184acd0a458982a966921cc0c30c
work_keys_str_mv	AT bertelmannt candynamiccontourtonometryandocularpulseamplitudehelptodetectseverecardiovascularpathologies AT langankes candynamiccontourtonometryandocularpulseamplitudehelptodetectseverecardiovascularpathologies AT potstawam candynamiccontourtonometryandocularpulseamplitudehelptodetectseverecardiovascularpathologies AT strempeli candynamiccontourtonometryandocularpulseamplitudehelptodetectseverecardiovascularpathologies
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Can dynamic contour tonometry and ocular pulse amplitude help to detect severe cardiovascular pathologies?

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