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Comparison of intraocular pressure peak and fluctuations among Filipino patients with non-glaucomatous eyes and glaucoma suspects using water drinking test and diurnal intraocular pressure

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International Journal of Ophthalmology(English edition) 2021年第11期14卷 1729-1734页

作者： Anelisa Koh Cynthia Verzosa Department of Ophthalmology Jose R.Reyes Memorial Medical CenterManila 1003Philippines

AIM:To compare the intraocular pressure(IOP)peaks and fluctuations using water drinking tests(WDTs)and mean diurnal IOP among Filipino patients with normal eyes and glaucoma suspectsMETHODS:This prospective study included normal and glaucoma suspect *** patient underwent both WDT and mean diurnal examination on separate *** mean diurnal examination,IOP was recorded every 2 h for 8 h while in WDT,IOP was recorded prior to WDT,and postWDT at 5,15,30,45,and 60 *** peak was recorded as the highest IOP for both methods,and IOP fluctuation was recorded as highest IOP minus lowest ***:With the comparison of diagnostic tests,both normal eyes and glaucoma suspect groups,the peak IOP was caught at 15 *** analysis of both groups also showed that the peak IOP measurements were statistically higher for the WDT compared to mean diurnal IOP(P=0.039,P=0.048 under normal group and P=0.032 and P=0.031 under glaucoma suspect group).Similarly,the WDT had a statistically higher mean IOP fluctuation score than the mean diurnal IOP method in both groups(P=0.003,P=0.011 under normal group;P=0.002 and P=0.005 under glaucoma suspect group).CONCLUSION:This study shows that WDT is a comparable diagnostic exam in predicting IOP fluctuations than mean diurnal *** is a promising diagnostic procedure for risk assessment in glaucoma.

关键词： glaucoma waterdrinking test intraocular pressure intraocular pressure peak fluctuation

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