NR 3/2004
SUPLEMENT


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Poziom przeciwciał antyfosfolipidowych w surowicy i cieczy wodnistej pacjentów z jaskrą

Levels of antiphospholipid antibodies in the serum and aqueous humor in glaucoma patients

Małgorzata Latalska1, Marek Gerkowicz1, Małgorzata Pietraś-Trzpiel1, Maria Kozioł-Montewka2, Ewa Kosior-Jarecka2

1Z II Kliniki Okulistyki Akademii Medycznej im. prof. Feliksa Skubiszewskiego w Lublinie
Kierownik: dr hab. n. med. Marek Gerkowicz
2Z Katedry i Zakładu Mikrobiologii Lekarskiej Akademii Medycznej im. prof. Feliksa Skubiszewskiego w Lublinie
Kierownik: prof. dr hab. n. med. Maria Kozioł-Montewka

Summary: Purpose: Evaluation of antiphospholipid antibodies in the serum and aqueous humor in patients with glaucoma.
Material and methods: 48 persons (38 women and 17 men), aged 30-86 (mean age 70), suffering from glaucoma was examined. There were 19 with POAG, 18 with PACG and 11 with PEXG. All patients have undergone trabeculectomia.
The group of 20 operated, because of age-related cataracta patients (7 men and 13 women), aged 47-82 (mean age 65) constituted a control group. All patients agreed to samples collection. In plasma and anterior chamber fluid the level of antiphospholipids antibodies classes IgM and IgG were measured, using ELISA method (commercial kits produced by Euroimmun) according to producent's instruction. Statistical analysis was performed using U Mann-Whitney test.
Results: The mean values of antiphospholipids in both group are put in the table. The significant differences between glaucoma and no-glaucoma patients were observed in levels of IgG in serum (p=0,014) and in levels of IgM antibodies in aqueous humor (p=0,013).
Conclusions: The presence of elevated levels of antiphospholipid antibodies in aqueous humor and serum may be a risk factor in progression of glaucomatous neuropathy.
Słowa kluczowe:  jaskra, przeciwciała antyfosfolipidowe, zespół antyfosfolipidowy, surowica, ciecz wodnista.
Key words: glaucoma, antiphospholipid antibodies, serum, aqueous humor.



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