Effect of combined water drinking test and dark room provocative testing in Caucasian eyes with narrow angles
Autor: | Henny J. M. Beckers, Hellen C S Römkens, Tos T. J. M. Berendschot, Carroll A.B. Webers, Jan S. A. G. Schouten |
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Přispěvatelé: | Medical Image Analysis, MUMC+: MA AIOS Oogheelkunde (9), Oogheelkunde, MUMC+: MA Oogheelkunde (9), RS: MHeNs - R3 - Neuroscience, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, MUMC+: MA Oogheelkunde (3), MUMC+: Centrum voor Oogheelkunde (3) |
Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
Intraocular pressure
medicine.medical_specialty genetic structures Anterior Chamber Provocative test Article 03 medical and health sciences Tonometry Ocular 0302 clinical medicine Ophthalmology medicine Outpatient clinic Humans Clinical significance In patient Intraocular Pressure Dark room business.industry Water Glaucoma Middle Aged eye diseases Water drinking test 030221 ophthalmology & optometry sense organs business Glaucoma Angle-Closure 030217 neurology & neurosurgery Provocative testing Tomography Optical Coherence |
Zdroj: | Eye, 36, 167-174. Nature Publishing Group Eye (Lond) Eye, 36(1), 167-174. Nature Publishing Group |
ISSN: | 0950-222X |
Popis: | PURPOSE: To assess the usefulness of water drinking test and dark room provocative testing (WDT + DRPT) in current clinical practice by evaluating input parameters from Swept-source Optical Coherence Tomography (SS-OCT) images, and to determine if clinical factors like axial length, central endothelial cell count (CECC) and retinal nerve fibre layer thickness (RNFL) thickness are associated with a positive WDT + DRPT.METHODS: SS-OCT examination was performed in consecutive subjects presenting as new patients in the outpatient clinic aged > 40 years. If at least one eye met the inclusion criteria (anterior chamber angles RESULTS: A total of 95 subjects with a mean age of 64 years were included. There was an association between IOP increase after WDT + DRPT and anterior chamber angle characteristics, however this was not of clinical significance. No positive results after WDT + DRPT were found in patients with anterior chamber angles ≥ 20°.CONCLUSIONS: The present findings indicate that this combined provocative test has no definite correlative or predictive value in angle closure disease. Further, the test is not useful in predicting early diagnosis or possible CECC or RNFL loss. |
Databáze: | OpenAIRE |
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