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Mar-Abr - Sociedade Brasileira de Oftalmologia

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108Ribeiro BB, Figueiredo CR, Suzuki ER, Silva FA, Batista WD, Galvão Neto PCONCLUSÃOA presença <strong>de</strong> um melhor fluxo sangüíneo ocularnos HO portadores <strong>de</strong> espessura corneana elevada <strong>de</strong>monstrouser <strong>de</strong> importância na avaliação dahemodinâmica ocular, po<strong>de</strong>ndo predizer um menor risco<strong>de</strong> <strong>de</strong>senvolvimento <strong>de</strong> glaucoma.Entretanto, mais estudos serão necessários paraestabelecer a valida<strong>de</strong> <strong>de</strong>stes achados.SUMMARYPurpose: Evaluate the ocular blood flow in ocularhypertensive patients using the water test of the InstitutoMineiro <strong>de</strong> Olhos (IMOL). Methods: Forty ocularhypertensive patients were divi<strong>de</strong>d in four groupsaccording to corneal thickness and method ofmeasuring intraocular pressure (IOP). They werefollowed before and 30 and 90 minutes after drinking1000 ml of water. In the groups where the IOP weremeasured by Pulsatile Ocular Blood Flow Analyser(POBF), the pulse amplitu<strong>de</strong>, systolic and diastoliccycles and ocular blood flow were evaluated too. Allthe results were consi<strong>de</strong>red significatives at thesignification level of 5% (p < 0,05). Results: Duringthe test, the results showed that the patients withpachymetry superior to 580 m had values of the pulseamplitu<strong>de</strong> and ocular blood flow higher than those withthe pachymetry inferior to 580 m. Conclusion: The ocularhipertensives with elevated pachymetry had betterocular blood flow.Keywords: Eye/Blood supply; Ocular hypertension;Intraocular pression water/diagnostic useREFERÊNCIAS1. Quigley HA, Addicks EM. Chronic experimental glaucomain primates. II. Effect of exten<strong>de</strong>d intraocular pressureelevation on optic nerve head and axonal transport. InvestOphthalmol Vis Sci. 1980; 19: 137-52.2. Hollows FC, Graham PA. Intraocular pressure, glaucoma andglaucoma suspects in a <strong>de</strong>fined population. Br J Ophthalmol.1966; 50: 570-86.3. Sommer A, Tielsch JM, Katz J. Relationship betweenintraocular pressure and primary open-angle glaucoma amongwhite and black Americans. The Baltimore Eye Survey.ArchOphthalmol. 1991; 109: 1090-5.4. Werner EB, Drance SM, Schulzer M.Trabeculectomy andprogression of glaucomatous visual field loss. Arch Ophthalmol.1977; 95: 1374-77.5. An<strong>de</strong>rson DR.Glaucoma:the damaged caused by pressure.XLVI Edward Jackson Memorial lecture. Am J Ophthalmol.1989; 108: 485-95.6. Drance SM. Bowmann lecture. Glaucoma: changing concepts.Eye 1992; 6: 337-45.7. Sossi N, An<strong>de</strong>rson DR. Effect of the elevation of intraocularpressure on blood flow.Occurrence in cat optic nerve head studiedwith iodoantipyrine I 125. Arch Ophthalmol. 1983; 101: 98-101.8. Riva CE, Grunwald JE, Petrig BL. Autoregulation of humanretinal blood flow. An investigation with laser Dopplervelocimetry. Invest Ophthalmol Vis Sci. 1986; 27:1706-12.9. Nicolela MT, Walman BE, Buckley AR, Drance SM. Ocularhypertension and primary open-angle glaucoma: Acomparative study of their retrobulbar blood flow velocity. JGlaucoma. 1996; 308-10.10. Helal Jr J. Contribuição ao estudo da pressão intra-ocular:Picos <strong>de</strong> pressão intra-ocular na curva diária <strong>de</strong> pressão e naprova <strong>de</strong> sobrecarga hídrica. [Tese]. São Paulo. Universida<strong>de</strong>Fe<strong>de</strong>ral <strong>de</strong> São Paulo; 1987.11. Susanna Jr R, Me<strong>de</strong>iros F, Leite C. Correlação entre os picospressóricos da curva tensional diária e do teste <strong>de</strong> sobrecargahídrica. Rev Bras Oftalmol. 2001; 60: 418-23.12. Susanna Jr R, Campagna CM. Sobrecarga hídrica: sua importânciano diagnóstico do glaucoma. Rev Bras Oftalmol. 1988; 47: 27-8.13. Miller D. The relationship between diurnal tension variation andthe water drinking test. Am J Ophthalmol. 1964; 58:243-47.14. Ocular Blood Flow Tonometer. User´s manual OBF Labs (UK)15. Membrey WL, Poinoosawmy D, Bunce C. A comparison ofpulsatile ocular blood flow in normal tension glaucoma, normaland eyes with suspicious discs. ARVO; 1998.16. Butt Z, O´Brien C, Aspinall P. Pulsatile ocular blood flow inuntreated high and normal pressure glaucoma. Effects of posture.3 rd European Professors Workshop on the Quantification ofOcular Blood Flow in Glaucoma. Amsterdam; 1994.17. Ravilico G, Pastori G, Crocè M. Pulsatile ocular blood flow inocular hypertension vs. primary open-angle glaucoma.University of Trieste Eye Clinic, Italy.18. Los Epstein DL. Glaucoma 4th. The Patients History.Symptoms of Glaucoma. 4th ed. Pennsylvania, Williams BWilkins, 1997, Cap 4.19. Singh RP, Goldberg I, Graham SL, Sharma A, Mohsin M. Centralcorneal thickness, tonometry and ocular dimensions in glaucomaand ocular hypertension. J Glaucoma. 2001; 10: 206-10.20. Bafa M, Lambrinaskis I, Dayan M, Birch M. Clinical comparisonof measurement of the IOP with the ocular blood flowtonometer, the Tonopen XL and the Goldmann applanationtonometer. Acta Ophthalmol Scand. 2001; 79: 15-8.21. Pianka P, Geyer O, Naftaliev E, Neuforfer M, Varssano D, LazarM, Silver D. Comparison of pneumotonometer with aplanationtonometry. Invest Ophthalmol Vis Sci. 1998; 39: 4309-11.22. Gunvant P, Baskaran M, Vijaya L. Effect of corneal parameterson measurements using the pulsatile ocular blood flowtonograph and Goldmann applanation tonometer. Br JOphthalmol 2004; 88: 518-22.23. Bhan A, Browning AC, Shah S. Effect of corneal thickness onintraocular pressure measurements with the pneumotonometer,Goldmann applanation tonometer and Tono-pen. InvestOphthalmol Vis Sci. 2002; 43: 1389-92.24. Lauber JK, Boyd TA, Kinnear A. The water provocative test inpreglaucomatous chickens. Can J Ophthalmol. 1979; 14: 176-80.25. Me<strong>de</strong>iros FA, Sample PA, Weireb RN. Corneal thicknessmeasurements and visual function abnormalities in ocularhypertensive patients. Am J Ophthalmol. 2003;135: 131-137ENDEREÇO PARA CORRESPONDÊNCIABreno Barreto Ribeiro. Alameda Jacarandás, 740Bairro São Luiz – Belo Horizonte – MGCEP 31275060. Fone: 0xx3199738377.E-mail: breno_br2004@yahoo.com.brRev Bras Oftalmol. 2005; 64 (2): 102-108

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