Coexistence of macro- and micro-vascular abnormalities in newly diagnosed normal tension glaucoma patients.

Abstract:

PURPOSE:To investigate the coexistence of ocular microvascular and systemic macrovascular abnormalities in early stage, newly diagnosed and previously untreated normal tension glaucoma patients (NTG). METHODS:Retinal vascular reactivity to flickering light was assessed in 19 NTG and 28 age-matched controls by means of dynamic retinal vessel analysis (IMEDOS GmbH, Jena, Germany). Using a newly developed computational model, the entire dynamic vascular response profile to flicker light was imaged and used for analysis. In addition, assessments of carotid intima-media thickness (IMT) and pulse wave analysis (PWA) were conducted on all participants, along with blood pressure (BP) measurements and blood analyses for lipid metabolism markers. RESULTS: Patients with NTG demonstrated an increased right and left carotid IMT (p = 0.015, p = 0.045) and an elevated PWA augmentation index (p = 0.017) in comparison with healthy controls, along with an enhanced retinal arterial constriction response (p = 0.028), a steeper retinal arterial constriction slope (p = 0.031) and a reduced retinal venous dilation response (p = 0.026) following flicker light stimulation. CONCLUSIONS:Early stage, newly diagnosed, NTG patients showed signs of subclinical vascular abnormalities at both macro- and micro-vascular levels, highlighting the need to consider multi-level circulation-related pathologies in the development and progression of this type of glaucoma.

journal_name

Acta Ophthalmol

journal_title

Acta ophthalmologica

authors

Mroczkowska S,Ekart A,Sung V,Negi A,Qin L,Patel SR,Jacob S,Atkins C,Benavente-Perez A,Gherghel D

doi

10.1111/j.1755-3768.2012.02494.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

e553-9

issue

7

eissn

1755-375X

issn

1755-3768

journal_volume

90

pub_type

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