Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-266
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dc.contributor.authorMatlach, Juliane-
dc.contributor.authorBender, Sandra-
dc.contributor.authorKönig, Jochem-
dc.contributor.authorBinder, Harald-
dc.contributor.authorPfeiffer, Norbert-
dc.contributor.authorHoffmann, Esther M.-
dc.date.accessioned2019-01-08T11:45:23Z-
dc.date.available2019-01-08T12:45:23Z-
dc.date.issued2019-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/268-
dc.description.abstractPurpose: Since the role of short- and long-term intraocular pressure (IOP) fluctuation as a predictor of glaucoma progression is still controversial, the purpose of this study was to investigate the role of IOP fluctuation in a non-selected patient cohort. Materials and methods: Two-hundred and forty eyes of 120 glaucoma patients (51% female) with a mean age of 64.5 years were included. Inclusion criteria were at least a visual field (VF) and a 48-hour diurnal phasing of IOP including nocturnal measurement. Glaucoma Progression was defined as – if available – confirmed progression of reproducible VF defects in at least three VF examinations or increase of cup area on optic nerve imaging (Heidelberg Retina Tomograph [HRT]) with at least two images after baseline. If results were stable or less than previously mentioned VF or HRT examinations were available, it was classified as “no progression”. Results: Glaucoma progression was seen in seven of 240 eyes in the VF analysis and ten of 240 eyes on HRT. Of all 240 eyes, 92 and 41 eyes fulfilled the criteria to be included for progression evaluation on VF and HRT analysis, respectively. Mean time to progression ± standard error was 3.6±0.2 years on VF and 4.5±0.3 years on HRT. Univariate and multivariate Cox regression analyses revealed short-term IOP fluctuation (P,0.0001) and maximum IOP (P,0.001) as risk factors for glaucoma progression on VF. There was no significant influence of demographic characteristics, ocular or general health on glaucoma progression. Conclusion: Short-term IOP fluctuation was associated with the progression of glaucoma in this non-selected cohort of glaucoma patients receiving phasing of IOP. Keywords: glaucoma progression, short-term IOP fluctuation, long-term IOP fluctuation, glaucoma imaging, visual fielden_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin-
dc.language.isoeng-
dc.rightsCC BY-NCde_DE
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/-
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleInvestigation of intraocular pressure fluctuation as a risk factor of glaucoma progressionen_GB
dc.typeZeitschriftenaufsatzde_DE
dc.identifier.urnurn:nbn:de:hebis:77-publ-587554-
dc.identifier.doihttp://doi.org/10.25358/openscience-266-
jgu.type.dinitypearticle-
jgu.type.versionPublished versionen_GB
jgu.type.resourceText-
jgu.organisation.departmentFB 04 Medizin-
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleClinical ophthalmology-
jgu.journal.volume13-
jgu.pages.start9-
jgu.pages.end16-
jgu.publisher.year2019-
jgu.publisher.nameDove Medical Press-
jgu.publisher.placeAuckland, New Zealand-
jgu.publisher.urihttp://dx.doi.org/10.2147/OPTH.S186526-
jgu.publisher.issn1177-5483-
jgu.publisher.issn1177-5467-
jgu.organisation.placeMainz-
jgu.subject.ddccode610-
opus.date.accessioned2019-01-08T11:45:23Z-
opus.date.modified2020-03-17T08:28:42Z-
opus.date.available2019-01-08T12:45:23-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 04: Medizin: Klinik für Anästhesiologiede_DE
opus.organisation.stringFB 04: Medizin: Institut für Med. Biometrie, Epidemologie und Informatikde_DE
opus.organisation.stringFB 04: Medizin: Augenklinik und Poliklinikde_DE
opus.identifier.opusid58755-
opus.institute.number0418-
opus.institute.number0424-
opus.institute.number0446-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_GB
opus.affiliatedBender, Sandra-
opus.affiliatedKönig, Jochem-
opus.affiliatedBinder, Harald-
opus.affiliatedPfeiffer, Norbert-
opus.affiliatedHoffmann, Esther-
jgu.publisher.doi10.2147/OPTH.S186526-
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:JGU-Publikationen

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