%0 Journal Article
%T Short-Term Effect of Standard Automated Perimetry Testing on Intraocular Pressure in Patients with Open-Angle Glaucoma
%A Chang Mok Lee
%A Young Cheol Yoo
%J ISRN Ophthalmology
%D 2013
%R 10.1155/2013/956504
%X Purpose. To evaluate the short-term effect of standard automated perimetry (SAP) testing on intraocular pressure (IOP) in patients with open-angle glaucoma (OAG). Methods. We tested 45 patients (71 eyes) with OAG that had stable IOP under medical treatment. IOP was measured four times using an iCare rebound tonometer (RBT) immediately before, immediately after, 10 minutes after, and 20 minutes after SAP testing. Logistic regression analyses were performed to determine the relationships among SAP test duration, mean deviation of the SAP result, type of glaucoma medications, patient age, and significant IOP change (exceeding 2£¿mmHg) from baseline IOP. Results. The mean baseline IOP was 13.29 ¡À 3.06£¿mmHg. Although IOP changes immediately and 20 minutes after SAP testing were not statistically significant, the IOP change 10 minutes after SAP testing (£¿0.57 ¡À 1.84£¿mmHg) was statistically significant. However, the changes were within the margin of error of the RBT. Test duration, mean deviation, patient age, and type of glaucoma medications did not have a significant influence on IOP change (all ). Conclusions. IOP measured by RBT did not vary significantly after SAP testing in patients with OAG. It may be not necessary to reject IOP measured after SAP testing in patients with OAG. 1. Introduction Intraocular pressure (IOP) remains the only treatable risk factor for the management of glaucoma. Repeated IOP measurement and standard automated perimetry (SAP) testing are simple but fundamental procedures used to assess the stage of progression and to determine adequate treatment for patients with glaucoma [1, 2]. On a daily basis in our practice, IOP is measured after SAP testing. Afterward, both the SAP results and IOP are discussed with the patients, and their treatment strategies for glaucoma may be adjusted. There is a possibility that visual field examination performed before IOP measurement using both topical anesthetics and fluorescein dye affects the IOP values, misleading the clinician to strengthen the patients¡¯ glaucoma treatment plan. Currently, there is no consensus in the literature about the effects of SAP testing on IOP. One prospective study reported that IOP varied significantly and tended to increase immediately after SAP testing in patients with primary open-angle glaucoma (POAG), but other studies have reported no significant difference [3¨C5]. But, there was no trial that evaluates serial changes of IOP values through timeline after SAP testing. The aim of the present study was to evaluate the short-term effects of SAP testing on IOP
%U http://www.hindawi.com/journals/isrn.ophthalmology/2013/956504/