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NR. 1/2008
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Zasadność
wykonywania badań przesiewowych w kierunku jaskry u pacjentów
leczonych z powodu nadciśnienia tętniczego
Relevance of the Screening for Glaucoma in Patients Treated for
Arterial Hypertension
Maria Muzyka-Woźniak1,
Marta Misiuk-Hojło1, Eliza Patryn1,
Przemysław Skoczyński2, Anna Białek-Szymańska1
1Katedra i Klinika Okulistyki Akademii Medycznej we
Wrocławiu
Kierownik: prof. dr hab. n. med. Marta Misiuk-Hojło
2Katedra i Klinika Kardiologii Akademii Medycznej we
Wrocławiu
Kierownik: prof. dr hab. n. med. Walentyna Mazurek |
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| Summary: |
Rationale:
Thessaloniki Study revealed increased cupping and
decreased rim area of the optic disc in patients with
diastolic blood pressure <90 mm Hg on systemic
antihypertensive treatment. Other population-based
studies showed association of low diastolic perfusion
pressure with higher prevalence or incidence of glaucoma.
Therefore it seems reasonable to screen patients with
treated arterial hypertension for glaucoma.
Purpose: To screen patients with recognized and
treated arterial hypertension for glaucomatous damage.
Design: Prospective cross-sectional study.
Study population: 38 consecutive patients (18 men,
20 women) with long history (at least 5 years) of
diagnosed and treated arterial hypertension registered
at the Hypertension Clinic at the Dept. of Cardiology
Medical University of Wrocław.
Methods: Ophthalmologic data: visual acuity, gonioscopy,
IOP, pachymetry, HRT II, visual filed (Octopus, dG2).
Systemic data: records of blood pressure (BP) from the
Hypertension Clinic (at least 4 records) or ambulatory
BP monitoring, anti/hypertensive medications.
Results: Thorough ophthalmic examination revealed
6 (15.8%) glaucomatous subjects in a group of 38
consecutive patients with treated arterial hypertension.
Three out of six glaucomatous subjects had normal
pressure glaucoma. Mean systolic BP was 135.3 mm Hg (±
14.3), mean diastolic BP was 81.4 mm Hg (± 9.9). Mean
IOP was 13.1 mmHg (± 2.5) for right eyes and 12.9 mmHg
(± 2.3) for left eyes.
Conclusions: This pilot-study shows the need for
a large-scale glaucoma screening project in patients
with treated arterial hypertension. |
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| Key words: |
diastolic perfusion
pressure, arterial hypertension, glaucoma. |
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