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Abstract #18946 Published in IGR 3-1
Diurnal variation of episcleral venous pressure in healthy patients: a pilot study
Blondeau P; Tetrault JP; Papamarkakis CJournal of Glaucoma 2001; 10: 18-24
PURPOSE: To study diurnal episcleral venous pressure (EVP) and its relation to intraocular pressure (IOP) in healthy patients. The influences of supine position and lid closure on EVP were also studied. DESIGN: Experimental observational study. PARTICIPANTS AND METHODS: Twelve healthy patients with no eye disease had their IOP and EVP measured at 16:00, 22:00, 22:30, 06:00, 06:30, 09:00, 12:00, and 16:00 hours. Measurements at 22:30, 06:00, and 06:30 hours were performed on supine patients, and the measurement at 06:00 hours was with the eye that had been closed for the whole night. In a second experiment, EVP was measured on patients who were lying supine from 22:30-16:00 hours with one eye closed during the day. MAIN OUTCOME MEASURES: Episcleral venous pressure and IOP at varying time points during a 24-hour period. RESULTS: Episcleral venous pressure was relatively constant throughout the day except for a slight reduction at 22:00 hours. After lying down, the EVP increased by 3.6 mmHg and remained increased as long as the patient remained in this position. Eyelid closure did not affect EVP. IOP measured with the Tono-Pen closely followed the variations in EVP. CONCLUSIONS: Episcleral venous pressure remains relatively constant throughout the day. It increases in the supine position with a corresponding increase in IOP. Lid closure does not influence EVP or IOP.
Dr P. Blondeau, University of Sherbrooke, Quebec, Canada
Classification:
2.7 Episcleral veins and venous pressure (Part of: 2 Anatomical structures in glaucoma)
