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Effect of topical ophthalmic latanoprost on intraocular pressure in normal horses.

The ocular effects of latanoprost ophthalmic solution were evaluated in two studies, with eight horses in each study. One eye of each horse was treated with latanoprost ophthalmic solution once daily for 5 days, and the opposite eye received a control solution of sterile eyewash. Intraocular pressure and pupillary diameter were measured daily for 5 days after treatment. Latanoprost had no significant effect on intraocular pressure or pupillary diameter in normal horse eyes compared with control eyes in these studies. Placement of an eyelid nerve block resulted in significantly lower intraocular pressure.

Animals↗

[Comparative intraocular pressure measurements with position independent hand-applanatation tonometers (author's transl)].

A study of comparative intraocular pressure measurements was made using the hand-held applanation tonometers of Perkins and Draeger in the sitting and lying patient. A series of 100 patients was investigated by two observers taking the pressures with both tonometers under blind conditions. The statistical evaluation of the data revealed an average pressure increment when lying down of 2.5 to 3 mm Hg for both observers and both tonometers. This postural response is fully reversible when getting up and an overshoot-phenomenon statistically significant is noted. The pressure increment when lying down is not related to initial pressure level and there is no clear relationship to the age of the patients tested. Interobserver variation as well as variations of both tonometers are evaluated. The effect of repeated tonometry in this study is considered. Some aspects of position influence on the intraocular pressure are discussed.

Age Factors↗

Asymmetry of right versus left intraocular pressures over 24 hours in glaucoma patients.

PURPOSE: To assess the asymmetry of 24-hour intraocular pressures (IOPs) between right and left eyes of untreated open-angle glaucoma (OAG) patients, and its influence on the monocular therapeutic trial. DESIGN: Experimental study with human patients. PARTICIPANTS: Forty-one subjects (40-78 years old) with untreated OAG. METHODS: Subjects were housed in a sleep laboratory for 24 hours. Intraocular pressures of both eyes were measured with a pneumatonometer every 2 hours with the patient in the sitting and supine positions from 7 am to 11 pm and in the supine position only from 11 pm to 7 am. Mean, peak, and trough IOPs were compared in right versus left eyes. The strength of association between right and left IOPs was assessed using coefficients of determination (R2). Validity of the monocular therapeutic trial was assessed by examining residual values from 2 linear regression models of right versus left IOP. MAIN OUTCOME MEASURES: Strength of association between IOPs of right and left eyes, and residual values from linear models of IOP. RESULTS: No statistically significant difference was found between mean, peak, or trough IOPs of right and left eyes over a 24-hour period. The strength of association for mean IOP was only moderate (R(2) = 0.421-0.623). Residual values of > or =3 mmHg were found in 14.0%+/-12.0% (mean +/- standard deviation) of IOP measurements for a symmetric linear regression model, and 8.5%+/-10.6% of IOP measurements for a best-fit linear regression model over 24 hours. CONCLUSIONS: In this group of untreated glaucoma patients, the strength of association between the right and left eye mean IOPs is only moderate. Residual values of > or =3 mmHg were more common using a symmetric model than with a best-fit model. The current method of performing monocular therapeutic trials in glaucoma patients is unreliable, but it may be possible to improve reliability by using several IOP measurements obtained at different times of the day instead of a single office measurement.

Adult↗

Similarity of the intraocular pressure response to different corticosteroid esters when compliance is controlled.

Fifty-four subjects with initial intraocular pressures under 20 mm Hg received a different commercial corticosteroid ester of prednisolone or dexamethasone in each eye for three to six weeks. Compliance was controlled. The intraocular pressure responses of the two eyes of a subject were similar. It was concluded that the absorptions of all four corticosteroids were in excess of the minimum amounts needed to maximally elevate pressure. Subjects complained that prednisolone acetate was irritating. Corticosteroid-induced uveitis developed in 3% (3) of the eyes.

Acetates↗

Intraocular pressure measurement after hyperopic LASIK.

PURPOSE: Previous studies have shown that Goldmann applanation tonometry (GAT) underestimates intraocular pressure (IOP) following photorefractive keratometry (PRK) and myopic laser in situ keratomileusis (LASIK). The purpose of this study was to evaluate the reliability of intraocular pressure (IOP) measurements by Goldmann applanation tonometry and pneumotonometry (PT) after hyperopic LASIK. METHODS: The IOPs of 20 eyes of 15 patients who underwent hyperopia LASIK were prospectively evaluated. Central and peripheral IOP were measured with GAT and PT, and central and peripheral corneal thicknesses were measured with ultrasonographic pachymetry. Patients were evaluated preoperatively and at 12 months postoperatively. RESULTS: Postoperative GAT measurements of IOP made from the central (13.1+/-2.7 mm Hg) and peripheral (13.9+/-3.3 mm Hg) corneal areas were significantly lower (P <0.001) than central IOP measured preoperatively (17.0+/-2.5 mm Hg). Postoperative PT measurements from the central (17.4+/-3.2 mm Hg) and peripheral (17.6+/-2.9 mm Hg) corneal areas were slightly lower than preoperative central IOP (18.4+/-2.4 mm Hg), but not statistically significant. There were no significant differences between central and peripheral IOP measurements using either method. CONCLUSION: The data demonstrate that GAT may underestimate IOP measurement, following hyperopic LASIK.

Adult↗

Effect of pilocarpine drops on the diurnal intraocular pressure variation in patients with glaucoma.

The diurnal intraocular pressure was measured in 14 eyes of patients with glaucoma while they were using no medication and compared to the diurnal pressures while they were using pilocarpine drops. During the 48 hour control period, the pressures measured every 3 hours by the non-contact tonometer had a mean value of 26 mm. Hg and a mean maximum diurnal variation of 18.5 mm. Hg. During the pilocarpine treatment period, the mean pressure and maximum diurnal variation dropped to 17 and 8.5 mm. Hg, respectively. The greatest pressure-lowering effect occurred between 9 A.M. and 6 P.M.

Analysis of Variance↗

The circadian rhythm in intraocular pressure and its relation to diurnal ocular growth changes in chicks.

Recent investigations have shown that growing chicken eyes elongate during the day and shorten during the night. We asked whether the chick, like a number of other animals, exhibits a rhythm in intraocular pressure (IOP) and whether this rhythm might be associated with this rhythm in elongation. We find that the intraocular pressure in normal eyes is high during the day and low in the middle of the night, similar to the rhythm in ocular elongation. The amplitude of this rhythm in IOP is approximately 8 mm Hg; it persists in constant darkness, albeit with a reduced amplitude, implying that the rhythm has a circadian component. Form deprivation by translucent diffusers does not affect the amplitude of the rhythm in IOP, but makes the phase of the rhythm more variable, such that the trough no longer consistently occurs at night. We find that the magnitude of the ocular compliance (the change in length induced by change in intraocular pressure) is consistent with the possibility that the diurnal changes in IOP might, through mechanical stretch, account for much of the diurnal changes in length. However, in individual eyes, we find consistent phase differences between the rhythms in IOP and ocular elongation. Therefore, we propose that the rhythm in IOP influences ocular elongation in ways other than by simply inflating the eye, for example, by influencing underlying rhythms in scleral extracellular matrix production. We conclude that the rhythm in IOP plays a role in the regulation of the growth of the eye.

Animals↗

[Investigations on the relationship between intraocular pressure and perifoveal capillary circulation in glaucoma patients using the entoptic blood corpuscle phenomenon (author's transl)].

Blood circulation in the central retina was examined in 30 eyes suffering from glaucoma, using the entoptic phenomenon to count leucocytes travelling through the retinal capillaries in the macula area. Two measurements were taken for each eye at different intraocular pressure levels and the results were compared with each other. They showed that reduction of an originally high intraocular tension level significantly increased the blood flow. In a control group of healthy eyes in a similar group of patients insignificant changes in blood flow were recorded. There was thus a direct linear relationship between reduction of intraocular pressure and relative increase in blood flow with a strongly positive correlation (r = 0,74). Hence an effective autoregulation of blood flow in relation to changes in intraocular pressure could not be demonstrated.

Adolescent↗

[The laser correction of recurrent elevated intraocular pressure after a surgical operation to control glaucoma complicated by the blocking of the postoperative fistula by the root of the iris].

Laser intervention was carried out in 18 patients (18 eyes) with open-angle glaucoma and decompensated intraocular pressure, that developed in 2 weeks--5 years after primary antiglaucoma surgery. Developed glaucoma stage was diagnosed in 16 eyes, in 2 eyes far-advanced condition was found. Blocking of the fistula by the iridal root was responsible for the inefficacy of fistulizing surgery. Laser trabeculoplasty to compensate for the intraocular pressure was carried out in 18 eyes, in 9 eyes this treatment was combined with gonioplasty. Stable normalization of intraocular pressure was observed in 13 eyes in remote periods after laser coagulation. Analysis of the results has brought the authors to a conclusion that the administered laser trabeculoplasty as an individual treatment modality and in combination with gonioplasty is fairly effective, results in prolonged compensation of the ophthalmic tone, and is altogether less traumatic than repeated surgery.

Aged↗

The effects of external ocular irritation on intraocular pressure.

Riot control agents (tear gases) cause intense eye irritation and reflex squeezing of the eyes. The intraocular pressure under these circumstances is unknown but animal and human studies of ocular irritation and forces acting upon the eye indicate a transient increase in intraocular pressure which is not necessarily detrimental to vision.

Animals↗

The effect of nebulized bronchodilator therapy on intraocular pressures in patients with glaucoma.

A controlled double-blind crossover study of ocular complications associated with nebulized ipratropium bromide and salbutamol therapy for respiratory distress was undertaken in 46 chronic bronchitis patients. There was no significant rise in intraocular pressure or change in anterior chamber angle in patients with open-angle glaucoma, narrow-angle glaucoma or control subjects following treatment with either drug. However, when the two drugs were used in combination, intraocular pressure rose in patients with narrow-angle glaucoma but not in patients with open-angle glaucoma or in control subjects. Transient angle closure was seen in five of these patients. Intraocular pressures did not rise when swimming goggles were used to protect the eyes or when antiglaucoma treatment was continued. Nebulized bronchodilator therapy is safe in nonglaucomatous patients and those with open-angle glaucoma. Ocular complications can follow combined ipratropium bromide and salbutamol nebulization in patients with narrow-angle glaucoma, but can be prevented by using the drugs separately, protecting the eyes and ensuring continued antiglaucoma measures.

Administration, Intranasal↗

Reduction in intraocular pressure after excimer laser photorefractive keratectomy. Correlation with pretreatment myopia.

PURPOSE: The authors relate the observed reduction in intraocular pressure (IOP) after excimer laser treatment to the degree of myopia treated. BACKGROUND: Intraocular pressure, measured by both Goldmann applanation and noncontact tonometry, has been reported to decrease after excimer laser photorefractive keratectomy (PRK). However, IOP readings after excimer laser PRK might be inaccurate as a consequence of changes in both the thickness and curvature of the cornea. METHODS: Baseline IOP readings were measured by noncontact tonometry in each eye of a group of 1320 patients at the time of their initial consultation. These were compared to readings obtained before treatment of the second eye, which took place a minimum of 4 months later. The untreated eyes served as controls. The paired Student's t test was used for statistical analysis. RESULTS: After PRK, a decrease was observed in the IOP of treated eyes that was related to the degree of myopia treated. A significant difference was observed between treated and untreated eyes (P < 0.0000). CONCLUSIONS: The IOP measured after PRK for myopia may be reduced because of changes in corneal thickness (absence of Bowman's membrane and central thinning) and topography. This is of particular relevance when monitoring the IOP of those patients who are given steroid drops to prevent regression. It also may be of importance in the management of any future glaucoma.

Adult↗

A study of the relation between intraocular pressure and aqueous humor flow in the pigment dispersion syndrome.

Forty subjects with pigment dispersion syndrome with and without intraocular pressure (IOP) elevation were compared with 40 age-matched controls. Intraocular pressure, resistance to outflow, and the rate of flow of aqueous humor were compared. Eyes with higher IOP and higher resistance to outflow were found to have a normal rate of aqueous flow. The results are interpreted as demonstrating that moderate and chronic elevation of IOP in the adult human eye does not induce a chronic compensatory reduction of aqueous humor flow.

Adult↗

A functional vagotomy induced by unilateral forced right nostril breathing decreases intraocular pressure in open and closed angle glaucoma.

There is evidence of the central regulation of intraocular pressure, and it has been suggested that vagal tone might be increased in glaucoma simplex. The nasal cycle, the simultaneous congestion-decongestion response in the nasal cavities, reflects the dynamic lateralisation of the autonomic nervous system. Since this lateralisation presents with sympathetic activity induced by left brain hemisphere stimulation and parasympathetic activity induced by right hemisphere stimulation, it was subsequently demonstrated that forced unilateral nostril breathing induces selective contralateral hemispheric stimulation as measured by relative increases in the electroencephalographic amplitude in the contralateral hemisphere as well as alternating lateralisation of plasma catecholamines. Using this functional vagotomy, we report that left hemispheric stimulation by 20 minutes of forced unilateral right nostril breathing led to a significant bilateral decrease of 4.6 mmHg (25%) in intraocular pressure in 46 patients with open and closed angle glaucoma. However, it significantly increased the IOP in three patients with neovascular, one with juvenile onset, and one with closed angle glaucoma.

Adolescent↗

[Intraocular pressure changes after Nd:YAG laser capsulotomy with preoperative use of timolol].

Sixty-four eyes undergoing Nd:YAG laser posterior capsulotomy were randomly assigned to pretreatment with 5 mg/ml (0.5%) timolol maleate in 32 eyes, and no drugs was given in the other 32 eyes as comparison. The result showed that the mean rise in intraocular pressure was significantly less in the timolol-pretreated group than that in the comparison group within 4 hours after laser procedure and the intraocular pressure was the lowest 2 hours after capsulotomy. The mean rise in intraocular pressure in pretreated group was less than that in the comparison group 24 or 48 hours after capsulotomy, but the difference was not significant. It is suggested that pretreatment with 5 mg/ml (0.5%) timolol could blunted the immediate post-capsulotomy pressure rise though delayed pressure increases could not be prevented. Therefore, it is recommended that timolol should be administrated before the YAG laser capsulotomy in order to reduce side effects caused by higher immediate post-capsulotomy pressure rise.

Adolescent↗

Intraocular pressure decrease in normal volunteers following timolol ophthalmic solution.

Timolol ophthalmic solutions 0.5 per cent, 1.0 per cent, and 1.5 per cent lowered intraocular pressures significantly in normal human volunteers. Maximum lowering of the intraocular pressures was reached at two hours with the 0.5 per cent solution of timolol and at one hour with the 1.0 per cent and 1.5 per cent timolol ophthalmic solutions. The effect lasted the full seven hours of observations. No objective or subjective evidence of ocular irritation could be attributed to the drug. A single dose of timolol applied topically to the eyes of normal human volunteers had no effect on pupillary size, visual acuity, blood pressure, or pulse rate.

Adrenergic beta-Antagonists↗

Variations in intraocular pressure during closed-system surgical procedures.

True intraocular pressure (IOP) during closed-chamber anterior segment surgery and vitrectomy was measured in rabbits by inserting a miniature pressure sensor directly into the anterior chamber or into the vitreous. Infusion fluid pressure was also measured simultaneously with a sensor in the infusion line. Significant and rapid changes in IOP up to 110 mm Hg were observed during routine anterior segment and vitreous procedures. None of these IOP changes affected infusion line pressure, which was governed solely by the infusion bottle height. Furthermore, raising the infusion bottle produced minimal IOP elevation whenever fluid was flowing into and out of the eye via a surgical instrument or a wound. These results show the limitations of monitoring of infusion line pressure as a means for assessing IOP and stress the need for IOP control during surgery.

Animals↗

Postural behaviour of intraocular pressure in diabetics.

The response to posture of intraocular pressure (IOP) was studied in 58 normal and 60 diabetic eyes. A significant postural rise of IOP was found in the diabetic patients. The clinical relevance of the abnormality in pressure regulation in diabetics is discussed. Its implications for other closely associated disorders are emphasized.

Adult↗