| Dampening of Diurnal Intraocular Pressure Fluctuation by Combined Trabeculotomy and Sinusotomy in Eyes With Open-angle Glaucoma. | |
| | |
MedLine Citation:
|
PMID: 22274667 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE:: Large diurnal intraocular pressure (IOP) fluctuation (▵IOP) is believed to be one of the causes of progression in glaucomatous changes. Some fully medicated glaucoma patients whose IOPs are controlled during the regular office hours (10:00 to 16:00 h) still have progression in glaucomatous changes and IOP elevation during off-office hours. The purpose of this study was to determine whether ▵IOP is dampened after combined trabeculotomy and sinusotomy (LOT+SIN) in glaucoma patients with low IOPs during the regular office hours. PATIENTS AND METHODS:: Fourteen eyes of 8 open-angle glaucoma patients who had large ▵IOP despite low IOPs during the office hours were studied. The IOP was measured every 3 hours for 24 hours before and >3 months after the operation. The IOPs were measured in the sitting position with a Goldmann applanation tonometer. All patients underwent LOT+SIN. RESULTS:: All patients had IOP elevations >20 mm Hg between 0:00 and 3:00 hours before the operation, and none had an IOP peak after the operation. The postoperative mean IOP (16.5±1.7 to 13.9±2.0 mm Hg, P=0.00064), the maximum IOP (21.9±2.4 to 16.1±2.5 mm Hg, P=0.0020), and ▵IOP (8.9±2.7 to 4.3±1.2 mm Hg, P=0.0032) were significantly lower than the preoperative values. However, the minimum IOP was not reduced significantly (13.0±1.9 to 11.7±1.7 mm Hg). CONCLUSIONS:: The diurnal ▵IOPs are dampened by LOT+SIN in glaucoma patients with controlled IOPs during regular office hours. These results indicate that these surgical procedures can be used for the treatment of open-angle glaucoma patients. |
| | |
Authors:
|
Masato Matsuoka; Akira Ando; Keizo Minamino; Kayako Matsuyama; Chieko Shima; Miyo Matsumura; Tetsuya Nishimura |
Related Documents
:
|
23312507 - Mechanochemical endovenous ablation of small saphenous vein insufficiency using the cla... 23109347 - The future of hemostasis management. 23374927 - Development of labial gingival recessions in orthodontically treated patients. 23364237 - Prospective study of sarpogrelate hydrochloride on patients with arterioscler osis obli... 22234067 - Endoscopic metal stents for the palliation of malignant upper gastroduodenal obstruction. 17943297 - Treatment of dysplastic osteoarthritis with labral tear by chiari pelvic osteotomy: out... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-20 |
Journal Detail:
|
Title: Journal of glaucoma Volume: - ISSN: 1536-481X ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
*Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka †Nagata Eye Clinic, Nara, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparative In Vitro Flow Study of 3 Different Ex-PRESS Miniature Glaucoma Device Models.
Next Document: Reproducibility of the Mean, Fluctuation, and IOP Peak in the Diurnal Tension Curve.