Constantin C, Costin D
Clinica II Oftalmologie, Spitalul Clinic de Urgenţe "Sf. Treime", Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2007 Oct-Dec;111(4):946-52.
The assessment of intraocular pressure diurnal curve is not a routine examination. In some situations it might be useful. Determining real intraocular pressure peaks during the nictemeral rhythm can orient the diagnosis to better estimate medication efficiency.
We selected for this study 27 normal patients (52 eyes) and 29 glaucomatous patients (56 eyes). We chose to determine intraocular pressure every three hours, excluding the 3 a.m. in the night determination, thus obtaining a 7 values curve.
We compared the data obtained with 5 values curve, excluding the 6 a.m. and 12 p.m. determinations. Analyzing data we observed that there was no statistical difference between pressure averages measured either 7 times or 5 times during the nictemeral rhythm In a small amount of cases, 4 eyes in the normal patients group and 3 eyes in the glaucomatous patients group, important data are excluded by the 5 values nictemeral curve.
We believe that a 5 determinations pressure curve is sufficient enough to estimate correctly a glaucomatous patient regarding his intraocular pressure regimen.
眼压日曲线评估并非常规检查。在某些情况下可能有用。确定昼夜节律期间的实际眼压峰值可指导诊断,以更好地评估药物疗效。
本研究选取27例正常患者(52只眼)和29例青光眼患者(56只眼)。我们选择每三小时测量一次眼压,夜间3点的测量除外,从而获得一条7个值的曲线。
我们将获得的数据与5个值的曲线进行比较,该曲线排除了上午6点和中午12点的测量值。分析数据时我们观察到,在昼夜节律期间,7次或5次测量的平均眼压之间无统计学差异。在少量病例中,正常患者组有4只眼,青光眼患者组有3只眼,5个值的昼夜曲线排除了重要数据。
我们认为,5次测量的眼压曲线足以正确评估青光眼患者的眼压情况。