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24-hour monitoring of intraocular pressure in glaucoma management: a retrospective review

2003; Elsevier BV; Volume: 137; Issue: 1 Linguagem: Inglês

10.1016/j.ajo.2003.10.008

1879-1891

Emily Hughes, Paul G. Spry, Jeffrey S. Diamond,

Retinal Diseases and Treatments

The authors retrospectively reviewed the 24-hour intraocular pressure (IOP) monitoring of 29 glaucoma patients while they were utilizing anti-glaucoma medications. The IOP during the 24-hour monitoring was on average 4.9 mm Hg higher than the peak clinic IOP (P < .0001). In four (13.8%) patients, the peak IOP over 24 hours was at least 12 mm Hg higher than the clinic peak. Peak IOP values occurred outside normal office hours in 15 (51.7%) patients. Twenty-four-hour IOP monitoring resulted in a change of clinical management in 23 (70.3%) patients, including 13 (44.8%) who were offered trabeculectomy. The conclusion is that 24-hour IOP monitoring may detect patients with major risk factors for glaucoma progression (high IOP and wide diurnal variation) who might otherwise escape detection with IOP measurements performed only during regular office hours.—Michael D. Wagoner