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接触镜传感器对治疗青光眼患者的视野变化和 24 小时眼压相关特征的影响

Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients.

机构信息

Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York.

Department of Ophthalmology, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.

出版信息

Ophthalmology. 2016 Apr;123(4):744-53. doi: 10.1016/j.ophtha.2015.11.020. Epub 2016 Jan 21.


DOI:10.1016/j.ophtha.2015.11.020
PMID:26854032
Abstract

PURPOSE: To test the hypothesis that a 24-hour recording of intraocular pressure (IOP)-related measurements derived from a contact lens sensor (CLS) correlates to the rate of visual field progression in treated glaucomatous eyes. DESIGN: Prospective, cross-sectional study. PARTICIPANTS: Forty treated glaucomatous patients with 8 or more 24-2 visual field tests. METHODS: Twenty-four-hour recording with a CLS that provides IOP-related measurements. MAIN OUTCOME MEASURES: Rates of visual field mean deviation (MD) change before and at the time of CLS recording and CLS parameters, namely number of large peaks, mean peak ratio, wake-to-sleep slope, amplitude and area under the cosine curve, and variability from the mean. RESULTS: When comparing the rate of MD change before and at the time of CLS recording of all patients, the average slope was -0.05 dB/year faster in the beginning compared with the end (P = 0.087), suggesting a deceleration of progression by the time of CLS recording. The number of long peaks and the mean peak ratio when patients were awake were the best predictors of faster progression. The combination of CLS parameters provided better measures of goodness of fit than Goldmann IOP parameters (mean, peak, and fluctuation) in the same period. CONCLUSIONS: Intraocular pressure-related parameters obtained with 24-hour recording with a CLS were associated with the rate of visual field progression in treated glaucomatous eyes. This technology may be useful in detecting eyes at higher risk of glaucoma progression while receiving treatment.

摘要

目的:验证假设,即从接触镜传感器(CLS)获得的 24 小时眼压(IOP)相关测量值的记录与治疗青光眼眼中视野进展的速度相关。

设计:前瞻性、横断面研究。

参与者:40 名患有 8 次或更多 24-2 视野测试的治疗性青光眼患者。

方法:使用 CLS 进行 24 小时记录,该传感器可提供与 IOP 相关的测量值。

主要观察指标:在 CLS 记录之前和记录时的视野平均偏差(MD)变化率,以及 CLS 参数,即大峰值数、平均峰值比、清醒到睡眠斜率、幅度和余弦曲线下面积,以及平均值的变异性。

结果:当比较所有患者在 CLS 记录前后 MD 变化率时,与结束时相比,开始时的平均斜率快 0.05 dB/年(P = 0.087),表明进展速度在 CLS 记录时有所减慢。当患者清醒时,长峰值数和平均峰值比是预测进展更快的最佳指标。与同一时期的 Goldmann IOP 参数(平均值、峰值和波动)相比,CLS 参数的组合提供了更好的拟合优度测量。

结论:使用 CLS 进行 24 小时记录获得的与 IOP 相关的参数与治疗性青光眼眼中的视野进展速度相关。这种技术可能有助于在接受治疗时检测到青光眼进展风险较高的眼睛。

相似文献

[1]
Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients.

Ophthalmology. 2016-1-21

[2]
Association Between 24-Hour Intraocular Pressure Monitored With Contact Lens Sensor and Visual Field Progression in Older Adults With Glaucoma.

JAMA Ophthalmol. 2018-7-1

[3]
Correlation between 24-h continuous intraocular pressure measurement with a contact lens sensor and visual field progression.

Graefes Arch Clin Exp Ophthalmol. 2019-10-28

[4]
Twenty-four-Hour Intraocular Pressure-Related Patterns from Contact Lens Sensors in Normal-Tension Glaucoma and Healthy Eyes: The Exploring Nyctohemeral Intraocular pressure related pattern for Glaucoma Management (ENIGMA) Study.

Ophthalmology. 2020-5-15

[5]
Use of Machine Learning on Contact Lens Sensor-Derived Parameters for the Diagnosis of Primary Open-angle Glaucoma.

Am J Ophthalmol. 2018-7-25

[6]
Effect of glaucoma medications on 24-hour intraocular pressure-related patterns using a contact lens sensor.

Clin Exp Ophthalmol. 2015-12

[7]
Relationship between Intraocular Pressure Fluctuation and Visual Field Progression Rates in the United Kingdom Glaucoma Treatment Study.

Ophthalmology. 2024-8

[8]
The Effect of Therapeutic IOP-lowering Interventions on the 24-hour Ocular Dimensional Profile Recorded With a Sensing Contact Lens.

J Glaucoma. 2019-3

[9]
24-Hour Contact Lens Sensor Monitoring of Intraocular Pressure-Related Profiles in Normal-Tension Glaucoma and Rates of Disease Progression.

Ophthalmic Res. 2017

[10]
24-hour intraocular pressure rhythm in young healthy subjects evaluated with continuous monitoring using a contact lens sensor.

JAMA Ophthalmol. 2013-12

引用本文的文献

[1]
A Novel Contact Lens Sensor System for Continuous Intraocular Pressure Monitoring: Evaluation of Accuracy in Human Eyes.

Ophthalmol Sci. 2025-5-12

[2]
Telemonitoring Tools for Glaucoma Patients: A Systematic Review of Current Trends and Applications.

J Clin Med. 2025-5-9

[3]
Reliability of Self-Monitoring of Intraocular Pressure With iCare Home2 Rebound Tonometry.

J Glaucoma. 2025-6-1

[4]
Reproducibility of the Time of Intraocular Pressure Peaks During Water-drinking Test in Patients Treated for Open-angle Glaucoma.

J Ophthalmic Vis Res. 2024-12-31

[5]
The Benefit of Nocturnal IOP Reduction in Glaucoma, Including Normal Tension Glaucoma.

Clin Ophthalmol. 2024-11-6

[6]
Continuous Wireless Telemetric Measurement of Intraocular Pressure (IOP), Ocular Perfusion Pressure (OPP), and Cerebrospinal Fluid Pressure (CSFP) in Nonhuman Primates (NHPs).

Methods Mol Biol. 2025

[7]
Prediction of glaucoma progression by 24-h contact lens sensor profile in patients with normal-tension glaucoma.

Sci Rep. 2024-9-16

[8]
24-Hour Evaluation of the Effectiveness and Tolerability of Preservative-Free Tafluprost-Timolol Fixed Combination in Open-Angle Glaucoma or Ocular Hypertensive Patients Previously Treated with Preserved Latanoprost.

Clin Ophthalmol. 2024-6-21

[9]
Retinal Neurodegeneration in an Intraocular Pressure Fluctuation Rat Model.

Int J Mol Sci. 2024-3-26

[10]
Comparison of intraocular pressure profiles during the water drinking test and the modified diurnal tension curve.

Eye (Lond). 2024-6

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