Intraocular Pressure Characteristics of Exfoliative Glaucoma and Exfoliation Syndrome as Determined With the Water Drinking Test

Mocan, Mehmet Cem; Kasım, Burcu; Muz, Ömer Ersin; İrkeç, Murat; Orhan, Mehmet; Karabulut, Erdem; Mikropoulos, Dimitrios G.; Konstas, Anastasios G. P.

doi:10.1097/ijg.0000000000000223

Cited by 9 publications

(8 citation statements)

References 24 publications

(32 reference statements)

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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%

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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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Section: Clinical and Research Applicationssupporting

confidence: 78%

“…This has been confirmed by other authors and has immediate clinical relevance. 27,31,50 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: Treatmentmentioning

confidence: 99%

Applications of the water drinking test in glaucoma management

Susanna

Clement

Goldberg

et al. 2017

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Similarly, higher IOP peak, mean IOP and percentage of IOP fluctuation values were reported in XFG patients compared to XFS patients and controls during the WDT (Mocan et al 2016). The difference in response to the WDT between XFG and XFS patients could be based on impaired outflow in eyes with glaucoma, as the WDT is a surrogate marker for outflow facility.…”

Section: Discussionmentioning

confidence: 80%

“…Recently, Mocan et al (2016) reported that untreated XFG patients who underwent a WDT had maximum IOP levels between 32 and 54 mmHg. Untreated XFG patients could show higher IOP peak and IOP fluctuation levels than treated XFG patients.…”

Section: Discussionmentioning

confidence: 99%

“…The reproducibility of IOP peaks and fluctuations with the WDT in untreated open-angle glaucoma and ocular hypertension patients and treated open-angle glaucoma patients had been reported (Hatanaka et al 2013;Babic et al 2015). Recently, it has also been reported that the WDT reveals significant IOP elevations in eyes with medically treated exfoliative glaucoma (XFG) and similar IOP characteristics in patients with exfoliation syndrome (XFS) when compared with healthy controls (Mocan et al 2016). However, the reproducibility of IOP peaks and fluctuations with the WDT in XFG and XFS is not known.…”

Section: Introductionmentioning

confidence: 97%

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