Aqueous Humor Dynamics in Uveitic Eyes
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Accepted version
Author(s)
Type
Journal Article
Abstract
PURPOSE: To investigate aqueous humor dynamics in uveitic eyes DESIGN: A cross-sectional study PARTICIPANTS: Patients with recurrent(≥3 attacks) anterior uveitis(now quiescent) and being treated for glaucoma or OHT(group-1), previous recurrent anterior uveitis(≥3 attacks) without glaucoma or OHT(group-2), and normal subjects with no ocular problems and IOP<21mmHg at screening, formed the control group(group-3). METHODS: Patients had one-off measurements. Group-1 patients who were on anti-hypertensives, were washed out for a 4-week period, prior to their study measurements. MAIN OUTCOME MEASURE: Tonographic outflow facility, aqueous flow rate and uveoscleral outflow. RESULTS: One hundred and one patients were screened between February 2014 and February 2017. Nine patients did not meet the inclusion criteria. Groups-1 and-3 each included 30 patients, and group-2 included 32 patients. The mean IOP was higher in the group-1 compared to the others(25±10.2(group-1) vs 16±2.7(group-2) vs 16±2.2mmHg(group-3), p<0.001). The tonographic outflow facility was lower in group-1 compared to the others(0.18±0.1(group-1) vs 0.25±0.1(group-2) vs 0.27±0.1μl/min/mmHg(group-3), p=0.005). However, aqueous flow rate was not statistically different(2.47±0.9(group-1) vs 2.13±0.9(group-2) vs 2.25±0.7μl/min(group-3), p=0.3). There was also no significant difference in calculated uveoscleral outflow. CONCLUSION: This is the first aqueous humor dynamic study in patients with uveitic glaucoma/OHT and recurrent anterior uveitis compared with age-matched controls. We have demonstrated that the elevated IOP seen in the uveitic glaucoma/OHT eyes (3-6 attacks), was due to reduced tonographic outflow facility. The aqueous humor flow rate was not detectibly different nor did the calculated uveoscleral outflow demonstrated any discernible difference. However, the exact mechanism remains to be elucidated.
Date Issued
2019-12
Date Acceptance
2019-08-21
Citation
American Journal of Ophthalmology, 2019, 208, pp.347-355
ISSN
0002-9394
Publisher
Elsevier
Start Page
347
End Page
355
Journal / Book Title
American Journal of Ophthalmology
Volume
208
Copyright Statement
© 2019 The Author(s). Published by Elsevier Inc. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31473215
PII: S0002-9394(19)30425-8
Subjects
1103 Clinical Sciences
1113 Opthalmology and Optometry
1117 Public Health and Health Services
Ophthalmology & Optometry
Publication Status
Published online
Coverage Spatial
United States
Date Publish Online
2019-08-30