J Korean Ophthalmol Soc > Volume 55(2); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(2):237-246.
DOI: https://doi.org/10.3341/jkos.2014.55.2.237    Published online February 15, 2014.
Diurnal Fluctuation of Ocular Perfusion Pressure in the Fellow Eyes of Branch Retinal Vein Occlusion.
Chang Hyun Park, Hae Young Park, Jae Yoon Yoon, Chan Kee Park
1Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. ckpark@catholic.ac.kr
2Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea.
단안 분지망막정맥폐쇄 환자의 무증상 반대안에서 안구관류압의 일중변동
박창현1⋅박혜영1⋅윤재윤2⋅박찬기1
Department of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital,
The Catholic University of Korea College of Medicine1, Seoul, Korea
Department of Ophthalmology, Saevit Eye Hospital2, Goyang, Korea
Abstract
PURPOSE
To investigate diurnal change in blood pressure (BP), intraocular pressure (IOP), and ocular perfusion pressure (OPP) in patients with unilateral branch retinal vein occlusion (BRVO) and compare the results with healthy controls. METHODS: We conducted a prospective case-control study which included 50 patients with unilateral BRVO and 50 age-matched volunteers as controls. Each participant underwent a comprehensive ophthalmic examination including optical coherence tomography (OCT). BP and IOP were evaluated 4 times daily at 8 AM, 10 AM, 2 PM and 6 PM. The mean and fluctuation of BP, IOP, mean arterial pressure (MAP), mean OPP (MOPP), and diastolic OPP (DOPP) were compared between fellow eyes of BRVO patients and normal control eyes. RESULTS: The average retinal nerve fiber layer (RNFL) thickness was significantly reduced in the fellow eyes of BRVO patients compared to control eyes (p < 0.001). Mean IOP and IOP fluctuation did not differ, but BP fluctuation (systolic BP fluctuation, p = 0.045; diastolic BP fluctuation, p = 0.037) and MAP fluctuation (p = 0.011) were greater in the fellow eyes of BRVO patients compared to normal eyes. The mean MOPP and DOPP did not differ between groups, however, the fluctuation of MOPP (p < 0.001) and DOPP (p < 0.001) were significantly increased in the fellow eyes of BRVO patients. The mean and fluctuation of BP, MAP, MOPP and DOPP were associated with reduced average RNFL thickness in the fellow eyes of BRVO patients. CONCLUSIONS: These results suggest the fellow eyes of unilateral BRVO patients may be at risk of developing glaucomatous damage.
Key Words: Branch retinal vein occlusion;Diurnal fluctuation;Glaucoma;Ocular perfusion pressure


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