Evaluation of the 24-hour intraocular pressure and systemic blood pressure at the same time.

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  • Additional Information
    • Source:
      Publisher: Masson Country of Publication: France NLM ID: 7804128 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1773-0597 (Electronic) Linking ISSN: 01815512 NLM ISO Abbreviation: J Fr Ophtalmol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris, New York, Masson.
    • Subject Terms:
      Blood Pressure Monitoring, Ambulatory*/instrumentation ; Blood Pressure Monitoring, Ambulatory*/methods ; Tonometry, Ocular*/instrumentation ; Tonometry, Ocular*/methods; Blood Pressure/*physiology ; Exfoliation Syndrome/*physiopathology ; Glaucoma, Open-Angle/*physiopathology ; Intraocular Pressure/*physiology; Aged ; Blood Pressure Monitors ; Circadian Rhythm/physiology ; Exfoliation Syndrome/diagnosis ; Female ; Glaucoma, Open-Angle/diagnosis ; Humans ; Male ; Middle Aged ; Time Factors
    • Abstract:
      Purpose: To obtain simultaneous 24-hour contact lens voltage and systemic arterial blood pressure values with the Sensimed Triggerfish system and Holter monitoring device.
      Methods: Ten primary open-angle glaucoma (POAG) and 8 pseudoexfoliation glaucoma (PXG) patients were included in the study. The Sensimed Triggerfish contact lens device was used to calculate the 24-hour IOP, and a Holter sphygmomanometer device was used for simultaneous 24-hour blood pressure measurements. We define the 8:00 am-11:00 pm period measurements as diurnal values and the other measurements as nocturnal values.
      Results: The mean nocturnal systolic values (nocturnal SBP 120.5±3.4 for POAG and 122.8±5.3mmHg for PXG) and diastolic BP (nocturnal DBP 70.2±1.9 for POAG and 68.1±1.2mmHg for PXG) were lower than the diurnal (diurnal SBP 134.6±5.3 for POAG, 145.9±41.7mmHg for PXG, diurnal DBP 79.4±5.8 for POAG and 78.6±5.1mmHg for PXG) values, and these differences were statistically significant in both groups (P=0.001 in DBP in PXG and P<0.001 for other values). In addition, nocturnal CL voltage values (228.8±41.1 for POAG and 214.3±47.0mVEq for PXG) were higher than the diurnal values (55.8±77.2 for POAG and 145.9±41.7mVEq for PXG) in the POAG and PXG groups, and these were statistically significant as well (P<0.001 for all). In the POAG and PXG groups, CL voltage had a statistically significant negative correlation with systolic (respectively, r: -0.248, P=0.001 and r: -0.272, P˂0.001) and diastolic (respectively, r: -0.115, P=0.036 and r: -0.160, P=0.028) BP values.
      Conclusion: We observed that CL voltage values rose during the nocturnal period, with a concomitant decrease in systolic and diastolic BP.
      (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)
    • Contributed Indexing:
      Keywords: 24-hour measurement; Blood pressure; Diastolic blood pressure; Intraocular pressure; Mesure sur 24 heures; Pression artérielle; Pression artérielle diastolique; Pression artérielle systolique; Pression intraoculaire; Systolic blood pressure; Triggerfish
    • Publication Date:
      Date Created: 20190521 Date Completed: 20200128 Latest Revision: 20200128
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.jfo.2019.03.007
    • Accession Number:
      31104874