Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes

Bruno P Figueiredo,1,2 Sebastião Cronemberger,1 Fabio N Kanadani3,4 1Departments of Ophthalmology, Federal University of Minas Gerais, Belo Horizonte, 2Departments of Ophthalmology, Glaucoma and Cataract Service, Santa Casa of Belo Horizonte, 3Department of Ophthalmology, São J...

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Autores principales:	Figueiredo BP, Cronemberger S, Kanadani FN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d9217987bc1d4b2fb87d7d233d7416b0
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spelling	oai:doaj.org-article:d9217987bc1d4b2fb87d7d233d7416b02021-12-02T05:13:52ZCorrelation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes1177-54671177-5483https://doaj.org/article/d9217987bc1d4b2fb87d7d233d7416b02013-08-01T00:00:00Zhttp://www.dovepress.com/correlation-between-ocular-perfusion-pressure-and-ocular-pulse-amplitu-a13982https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Bruno P Figueiredo,1,2 Sebastião Cronemberger,1 Fabio N Kanadani3,4 1Departments of Ophthalmology, Federal University of Minas Gerais, Belo Horizonte, 2Departments of Ophthalmology, Glaucoma and Cataract Service, Santa Casa of Belo Horizonte, 3Department of Ophthalmology, São José University Hospital, Belo Horizonte, Minas Gerais, 4Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil Background: The purpose of this study was to investigate the correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes. Methods: Ninety eyes from 90 patients were included. Thirty patients had been recently diagnosed with glaucoma and had no previous history of treatment for ocular hypotension, 30 had elevated intraocular pressure (IOP) without evidence of glaucoma, and 30 had normal IOP (<21 mmHg) with no detectable glaucomatous damage. Goldmann applanation tonometry (GAT), dynamic contour tonometry (DCT), blood pressure measurement, pachymetry, Humphrey visual field, and routine ophthalmic examination was performed in each patient. Ocular perfusion pressure was calculated as the difference between mean arterial pressure and IOP. The ocular pulse amplitude was given by DCT. The Pearson correlation coefficient was used to compare the glaucomatous and ocular hypertensive groups, and comparisons with the normal IOP group were done using the Spearman's rank correlation coefficient. Results: Mean IOP by DCT was 22.7 ± 4.3 mmHg in the glaucoma group, 22.3 ± 2.8 mmHg in the ocular hypertension group, and 14.3 ± 1.6 mmHg in the control group. Mean IOP by GAT was 19.0 ± 5.1 mmHg for glaucoma, 22.4 ± 2.1 mmHg for ocular hypertension, and 12.9 ± 2.2 mmHg for controls. Mean ocular pulse amplitude was 3.4 ± 1.2 mmHg in the glaucoma group, 3.5 ± 1.2 mmHg in the ocular hypertension group, and 2.6 ± 0.9 mmHg in the control group. Mean ocular perfusion pressure was 46.3 ± 7.9 mmHg in the glaucoma group, 46.3 ± 7.9 mmHg in the ocular hypertension group, and 50.2 ± 7.0 mmHg in controls. No significant correlation between ocular perfusion pressure and ocular pulse amplitude was found in any of the groups (P = 0.865 and r = -0.032, P = 0.403 and r = -0.156, P = 0.082 and ρ = -0.307 for glaucoma, ocular hypertension, and normal eyes, respectively). Conclusion: There is no significant correlation between ocular perfusion pressure and ocular pulse amplitude values in glaucoma, ocular hypertension, or normal eyes. IOP values measured by GAT correlate with those measured by DCT. Keywords: glaucoma, ocular pulse amplitude, ocular perfusion pressure, dynamic contour tonometry, vascular factorsFigueiredo BPCronemberger SKanadani FNDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1615-1621 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Figueiredo BP Cronemberger S Kanadani FN Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
description	Bruno P Figueiredo,1,2 Sebastião Cronemberger,1 Fabio N Kanadani3,4 1Departments of Ophthalmology, Federal University of Minas Gerais, Belo Horizonte, 2Departments of Ophthalmology, Glaucoma and Cataract Service, Santa Casa of Belo Horizonte, 3Department of Ophthalmology, São José University Hospital, Belo Horizonte, Minas Gerais, 4Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil Background: The purpose of this study was to investigate the correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes. Methods: Ninety eyes from 90 patients were included. Thirty patients had been recently diagnosed with glaucoma and had no previous history of treatment for ocular hypotension, 30 had elevated intraocular pressure (IOP) without evidence of glaucoma, and 30 had normal IOP (<21 mmHg) with no detectable glaucomatous damage. Goldmann applanation tonometry (GAT), dynamic contour tonometry (DCT), blood pressure measurement, pachymetry, Humphrey visual field, and routine ophthalmic examination was performed in each patient. Ocular perfusion pressure was calculated as the difference between mean arterial pressure and IOP. The ocular pulse amplitude was given by DCT. The Pearson correlation coefficient was used to compare the glaucomatous and ocular hypertensive groups, and comparisons with the normal IOP group were done using the Spearman's rank correlation coefficient. Results: Mean IOP by DCT was 22.7 ± 4.3 mmHg in the glaucoma group, 22.3 ± 2.8 mmHg in the ocular hypertension group, and 14.3 ± 1.6 mmHg in the control group. Mean IOP by GAT was 19.0 ± 5.1 mmHg for glaucoma, 22.4 ± 2.1 mmHg for ocular hypertension, and 12.9 ± 2.2 mmHg for controls. Mean ocular pulse amplitude was 3.4 ± 1.2 mmHg in the glaucoma group, 3.5 ± 1.2 mmHg in the ocular hypertension group, and 2.6 ± 0.9 mmHg in the control group. Mean ocular perfusion pressure was 46.3 ± 7.9 mmHg in the glaucoma group, 46.3 ± 7.9 mmHg in the ocular hypertension group, and 50.2 ± 7.0 mmHg in controls. No significant correlation between ocular perfusion pressure and ocular pulse amplitude was found in any of the groups (P = 0.865 and r = -0.032, P = 0.403 and r = -0.156, P = 0.082 and ρ = -0.307 for glaucoma, ocular hypertension, and normal eyes, respectively). Conclusion: There is no significant correlation between ocular perfusion pressure and ocular pulse amplitude values in glaucoma, ocular hypertension, or normal eyes. IOP values measured by GAT correlate with those measured by DCT. Keywords: glaucoma, ocular pulse amplitude, ocular perfusion pressure, dynamic contour tonometry, vascular factors
format	article
author	Figueiredo BP Cronemberger S Kanadani FN
author_facet	Figueiredo BP Cronemberger S Kanadani FN
author_sort	Figueiredo BP
title	Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
title_short	Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
title_full	Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
title_fullStr	Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
title_full_unstemmed	Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
title_sort	correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/d9217987bc1d4b2fb87d7d233d7416b0
work_keys_str_mv	AT figueiredobp correlationbetweenocularperfusionpressureandocularpulseamplitudeinglaucomaocularhypertensionandnormaleyes AT cronembergers correlationbetweenocularperfusionpressureandocularpulseamplitudeinglaucomaocularhypertensionandnormaleyes AT kanadanifn correlationbetweenocularperfusionpressureandocularpulseamplitudeinglaucomaocularhypertensionandnormaleyes
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Correlation between ocular perfusion pressure and ocular pulse amplitude in glaucoma, ocular hypertension, and normal eyes

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