Murugesan Meera Alias Devasena, Venkat Praveena, Basetti Bhavya
Department of Ophthalmology, Sri Ramachandra Medical College & Research Institute, Porur, Chennai, Tamil Nadu, India.
Department of Radiology, Sri Ramachandra Medical College, & Research Institute, Porur, Chennai, Tamil Nadu, India.
J Curr Glaucoma Pract. 2024 Apr-Jun;18(2):45-50. doi: 10.5005/jp-journals-10078-1428. Epub 2024 Jul 10.
To compare the ocular blood flow in glaucomatous eyes and normal healthy eyes. This study compares open-angle glaucoma patients to healthy adults by measuring various parameters in the ophthalmic artery (OA), central retinal artery (CRA), and short posterior ciliary artery (SPCA).
A total of 50 glaucomatous eyes and 50 normal eyes were included in a prospective case-control study over 1 year. The color Doppler imaging (CDI) was conducted using a noninvasive linear multifrequency probe with a frequency range of 5-9 MHz. OA, CRA, and SPCA were measured for peak systolic velocity (PSV), end-diastolic volume (EDV), pulsatility index (PI), and resistivity index (RI).
When compared with controls, PSV was decreased in all three vessels, with the results being remarkable only in CRA. The EDV also showed a remarkable decrease in all three vessels. Additionally, all three vessels showed significant increases in PI and RI except OA, -value < 0.05.
Blood velocity is decreased, and resistive indices are increased in glaucomatous eyes compared with normal eyes. Variations in ocular blood flow could be a cause or consequence of glaucomatous optic neuropathy and are an important predictor of disease progression.
Murugesan MAD, Venkat P, Basetti B. Comparison of Ocular Blood Flow in Glaucomatous Eyes and Nonglaucomatous Eyes at a Tertiary Hospital in South India: A Prospective Case-control Study. J Curr Glaucoma Pract 2024;18(2):45-50.
比较青光眼患者与正常健康人眼部的血流情况。本研究通过测量眼动脉(OA)、视网膜中央动脉(CRA)和睫状后短动脉(SPCA)的各项参数,对开角型青光眼患者和健康成年人进行比较。
在为期1年的前瞻性病例对照研究中,共纳入50只青光眼患眼和50只正常眼。使用频率范围为5 - 9 MHz的无创线性多频探头进行彩色多普勒成像(CDI)。测量OA、CRA和SPCA的收缩期峰值速度(PSV)、舒张末期容积(EDV)、搏动指数(PI)和阻力指数(RI)。
与对照组相比,所有三支血管的PSV均降低,仅CRA的结果差异显著。所有三支血管的EDV也显著降低。此外,除OA外,所有三支血管的PI和RI均显著升高,P值<0.05。
与正常眼相比,青光眼患眼的血流速度降低,阻力指数升高。眼部血流变化可能是青光眼性视神经病变的原因或结果,并且是疾病进展的重要预测指标。
Murugesan MAD, Venkat P, Basetti B. 印度南部一家三级医院青光眼患眼与非青光眼患眼眼部血流的比较:一项前瞻性病例对照研究。《当代青光眼实践杂志》2024;18(2):45 - 50。