Challenging glaucoma with a water‐drinking test

Landers, John

doi:10.1111/ceo.12503

Cited by 5 publications

(11 citation statements)

References 10 publications

(13 reference statements)

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“…In general, changes in IOP during the WDT were not clinically significant in our sample population, and therefore, it is less likely that ingestion of a significant amount of water by PACS is related to the pathophysiology of the disease process. This is unlike what is observed in glaucomatous eyes, which show exaggerated IOP peaks that correlate with visual field progression …”

Section: Discussioncontrasting

confidence: 77%

Water‐drinking test in primary angle‐closure suspect before and after laser peripheral iridotomy

Waisbourd

Savant

Sun

et al. 2015

Clinical Exper Ophthalmology

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Background: This study aimed to investigate whether performing a laser peripheral iridotomy in primary angle-closure suspects had an effect on the intraocular pressure response during the water-drinking test.Design: Prospective study in a hospital setting.Participants: Primary angle-closure suspects scheduled for a laser peripheral iridotomy.Methods: Primary angle-closure suspects were evaluated before the laser peripheral iridotomy and 2 weeks after. On each visit, subjects underwent the waterdrinking test. Intraocular pressure was measured every 15 min within a 1-h period.Main Outcome Measures: Intraocular pressure fluctuations during the water drinking test.Results: Twenty patients were enrolled. The mean age was 58.1 years (±10.2 SD), predominantly female (n = 14, 70%). Average intraocular pressure range (maximum-minimum) during the waterdrinking test increased significantly from 2.6 ± 1.1 mmHg before the laser peripheral iridotomy to 3.5 ± 1.5 mmHg after (P = 0.04). The mean difference between peak and last intraocular pressure measurements increased after the laser peripheral iridotomy was performed, from 2.5 mmHg (±1.27 SD) to 3.3 mmHg (±1.66 SD), (P = 0.057). There was no change in mean peak intraocular pressure (maximum-baseline) before and after the laser peripheral iridotomy (P = 0.87).Conclusions: Primary angle-closure suspects who underwent the water-drinking test had a slightly more pronounced recovery of intraocular pressure after the laser peripheral iridotomy was performed, which may be attributed to increase in the area of exposed trabecular meshwork following treatment. Differences in intraocular pressure curves before and after laser peripheral iridotomy were minimal, and therefore, the water-drinking test had limited value as a provocative test in this patient population.

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Section: Discussioncontrasting

confidence: 77%

Water‐drinking test in primary angle‐closure suspect before and after laser peripheral iridotomy

Waisbourd

Savant

Sun

et al. 2015

Clinical Exper Ophthalmology

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“…This study also highlighted that despite similar baseline IOP, eyes with similar visit‐measured single IOP may have different peak IOP. This has been confirmed by other authors and has immediate clinical relevance . IOP peak is an important factor for progression and usually not detected in routine clinical examination, which may explain at least in part why patients progress with ‘low IOP measurements’.…”

Section: Clinical and Research Applicationssupporting

confidence: 78%

“…It may be that patient's peak IOP is a constant and crucial clinical parameter, which is independent of initial IOP and underscores a patient's likelihood for future progression …”

Section: Clinical and Research Applicationsmentioning

confidence: 99%

“…The WDT has been the subject of multiple editorials in peer-reviewed journals since 2008. [23][24][25][26][27] In an editorial about publication and citation in ophthalmology, the authors stated that the WDT had experienced a major and recent revival based on the fact that the 32 articles that included this test have been cited on average 10.26 times, which is a mean citation count above the normal and expected mean. 23…”

Section: Introductionmentioning

confidence: 99%

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Applications of the water drinking test in glaucoma management

Susanna

Clement

Goldberg

et al. 2017

Clinical Exper Ophthalmology

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Intraocular pressure (IOP) peaks and means have been considered important factors for glaucoma onset and progression. However, peak IOP detection depends only on appropriated IOP checks at office visits, whereas the mean IOP requires longitudinal IOP data collection and may be affected by the interval between visits. Also, IOP peak assessment is necessary to verify if the peak pressure of a given patient is in target range, to evaluate glaucoma suspect risk, the efficacy of hypotensive drugs and to detect early loss of IOP control. The water-drinking test has gained significant attention in recent years as an important tool to evaluate IOP peaks and instability. The main objective of this review was to present new findings and to discuss the applicability of the water-drinking test in glaucoma management.

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“…O TSH tem sido tema de vários editoriais, em revistas especializadas em revisão de literatura, desde 2008 (27,28,29,30,31) . Em um editorial sobre publicação e citação em Oftalmologia, os autores afirmaram que o TSH tem recebido maior atenção com base no fato de que os 32 artigos que incluíram esse teste foram citados em média 10,26 vezes, o que é um número médio de citação acima do normal e esperado (27) .…”

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Reprodutibilidade do teste de sobrecarga hídrica em portadores de glaucoma de ângulo aberto sob tratamento clínico

Babić¹

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, não apenas pelo trabalho de orientação, mas sobretudo pelo importante papel de liderança, pelo modelo ético e moral que representa, pela comprometida vontade de ensino e pelo incansável e motivador incentivo em despertar em mim as melhores qualidades médicas e humanas.A Christianne Susanna, Bianca Susanna, Gabriela Susanna, Carolina Susanna e Fernanda Susanna, o meu mais carinhoso agradecimento por todo acolhimento e constante apoio nos mais variados momentos da minha vida.Ao meu amigo Carlos Gustavo de Moraes, por sua incondicional parceria profissional e sua mais sincera e profunda amizade.Ao colega Marcelo Hatanaka pela constante ajuda e apoio profissional.

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Challenging glaucoma with a water‐drinking test

Cited by 5 publications

References 10 publications

Water‐drinking test in primary angle‐closure suspect before and after laser peripheral iridotomy

Water‐drinking test in primary angle‐closure suspect before and after laser peripheral iridotomy

Applications of the water drinking test in glaucoma management

Reprodutibilidade do teste de sobrecarga hídrica em portadores de glaucoma de ângulo aberto sob tratamento clínico

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