Open-Angle Glaucoma: Variations in the Intraocular Pressure After Visual Field Examination

Recupero, Santi Maria; Contestabile, Maria Teresa; Taverniti, L.; Villani, G; Vincenzo, Recupero

doi:10.1097/00061198-200304000-00005

Cited by 28 publications

(33 citation statements)

References 17 publications

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“…Recupero et al 1 first reported a transient 1-hour increase in IOP of 2.38 mm Hg after VF testing in 94 POAG eyes. We report the first confirmatory study of these results.…”

Section: Discussionmentioning

confidence: 99%

“…We report the first confirmatory study of these results. Recupero et al 1 hypothesize that decreased accommodation with age may be a factor that reduces outflow facility. In our study, regression analysis shows no significant relationship between age and IOP variation after VF testing.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, there is no consensus in the literature about the effects of VF testing on IOP, with 1 prospective study of 49 primary open-angle glaucoma (POAG) patients suggesting a transient 1-hour increase in IOP of 2.38±3.49 mm Hg, 1 and other smaller studies reporting no difference. 2,3 Proposed factors include the stress of the testing conditions, 4,5 personal tolerance of environmental stressors, 6 and decrease in visual accommodation during VF testing.…”

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confidence: 99%

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Elevation of Intraocular Pressure in Glaucoma Patients After Automated Visual Field Testing

Ni¹,

Tsai²,

Shields³

et al. 2012

Journal of Glaucoma

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Purpose To examine whether automated visual field (VF) testing may exert a short-term influence on subsequent intraocular pressure (IOP) measurement during the same visit. Methods We reviewed patients with primary open-angle glaucoma whose most recent visit occurred at a major academic institution from July to December 2009 and who had 3 visits without intervening changes in glaucoma management within the previous 5 years. Exclusion criteria were patient admittance of nonadherence with medical therapy and documented difficulty of IOP measurement. One hundred nine right eyes from 109 patients were included. IOP obtained within 30 minutes after VF testing was compared with IOP from the previous and next visits without VF testing. Subgroup analyses included the role of reliability of VF test performance, surgical versus medical IOP control, and different topical medications. Results The average IOP measured after VF testing was 14.9± 4.7 mm Hg, higher than both the previous (13.7±4.4 mm Hg, P<0.001) and next visits without VF examination (13.8±4.4 mm Hg, P<0.001). A total of 22.9% of patients experienced a more than 20% increase of IOP. Eyes with surgical control had less IOP elevation than eyes with medical control (3.1%±15.9% vs. 11.7%±17.4%, P=0.009). Users of β-blockers or α-2-agonists had less IOP elevation than eyes controlled with prostaglandins or carbonic anhydrase inhibitors (0.9%±15.1% vs. 9.0%±12.3%, P=0.030). Conclusions This retrospective study suggests that patients with primary open-angle glaucoma experience a small and transient increase in IOP after VF testing and that this effect may be lower after surgical pressure control.

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“…Recupero et al 1 first reported a transient 1-hour increase in IOP of 2.38 mm Hg after VF testing in 94 POAG eyes. We report the first confirmatory study of these results.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Elevation of Intraocular Pressure in Glaucoma Patients After Automated Visual Field Testing

Ni¹,

Tsai²,

Shields³

et al. 2012

Journal of Glaucoma

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show abstract

“…The effect was most marked in elderly patients. 12 The maximum increase in IOP was 11 mm Hg. Lack of accommodation was proposed as one of many possible reasons for IOP increase after VF examinations.…”

Section: Introductionmentioning

confidence: 91%

“…Lack of accommodation was proposed as one of many possible reasons for IOP increase after VF examinations. 12 During the past decades, new examination algorithms and new perimetric techniques have been developed, with the specific aim to decrease examination time in order to increase quality and accuracy of the examination. The SITA algorithm for the HFA perimeter 13 and the high-pass resolution perimeter (HRP) 14 are examples of this attempt.…”

Section: Introductionmentioning

confidence: 99%

Intraocular pressure before and after visual field examination

Martin

2006

Eye

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Purpose To evaluate the influence of visual field (VF) examinations using modern techniques with short examination times on the intraocular pressure (IOP). Methods Sixty-one consecutive patients, aged 28-90 years, 40 women and 21 men, were examined. Forty patients were treated for glaucoma and 21 were untreated patients with ocular hypertension or suspected glaucoma. Twenty-one subjects were examined using the Humphrey Field Analyzer, using SITA programs, and 40 with high-pass resolution perimetry (HRP). Goldmann applanation tonometry was performed immediately before and after the VF examinations. Results A difference in IOP of more than 2 mm Hg before and after the VF examination was observed in 14 of the 61 patients (23%). The maximum change in each direction was 4 mm Hg. The mean differences were not significant. All eight subjects with increasing IOP after VF examinations were examined using the HRP technique (P ¼ 0.04). Conclusion Modern VF techniques with short examination time do not seem to significantly influence IOP.

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Flammer Syndrome: Psychological Causes and Consequences of Visual Impairment

et al. 2019

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Open-Angle Glaucoma: Variations in the Intraocular Pressure After Visual Field Examination

Abstract: Intraocular pressure varied significantly and tended to increase immediately after automated visual field examination in patients with primary open-angle glaucoma. Age seemed to contribute to these IOP changes, but other factors could be involved.

Cited by 28 publications

References 17 publications

Elevation of Intraocular Pressure in Glaucoma Patients After Automated Visual Field Testing

Elevation of Intraocular Pressure in Glaucoma Patients After Automated Visual Field Testing

Intraocular pressure before and after visual field examination

Flammer Syndrome: Psychological Causes and Consequences of Visual Impairment

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