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Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device

Purpose: To investigate how many tests need to be performed to adequately assess intraocular pressure (IOP) diurnal change using a self-measuring rebound tonometer among glaucoma patients. Subjects and Methods: Adult patients with primary open-angle glaucoma were included. IOP was measured in the mo...

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Autores principales: Shigemoto, Yumi, Hasebe, Yuka, Kitamura, Kazuyoshi, Fukuda, Yoshiko, Sakamoto, Masako, Matsubara, Mio, Minaguchi, Shinya, Kashiwagi, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094971/
https://www.ncbi.nlm.nih.gov/pubmed/37048542
http://dx.doi.org/10.3390/jcm12072460
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author Shigemoto, Yumi
Hasebe, Yuka
Kitamura, Kazuyoshi
Fukuda, Yoshiko
Sakamoto, Masako
Matsubara, Mio
Minaguchi, Shinya
Kashiwagi, Kenji
author_facet Shigemoto, Yumi
Hasebe, Yuka
Kitamura, Kazuyoshi
Fukuda, Yoshiko
Sakamoto, Masako
Matsubara, Mio
Minaguchi, Shinya
Kashiwagi, Kenji
author_sort Shigemoto, Yumi
collection PubMed
description Purpose: To investigate how many tests need to be performed to adequately assess intraocular pressure (IOP) diurnal change using a self-measuring rebound tonometer among glaucoma patients. Subjects and Methods: Adult patients with primary open-angle glaucoma were included. IOP was measured in the morning (6 AM to 9 AM), afternoon (12 PM to 3 PM), and at night (6 PM to 9 PM) for seven consecutive days. Twenty-four (7 males and 17 females, mean age 59.5 ± 11.0 years) patients who successfully measured IOP at least three times per day during the correct time periods for four days were subjected to analysis. Results: The IOP rhythm was significantly greater on the first day of measurement (6.6 ± 3.6 mmHg) than that averaged during subsequent days (4.4 ± 2.2 mmHg). The time of the highest and lowest IOP measurements on the first day of IOP measurement and during the entire measurement period coincided in 72.9% and 64.6% of cases, respectively. The concordance rate of the highest IOP time between the whole measurement period and each measurement day was less than 60%. Conclusion: The diurnal IOP rhythm measured by the patients themselves was not consistent, and multiple days of measurements may be necessary to correctly assess diurnal IOP rhythm.
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spelling pubmed-100949712023-04-13 Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device Shigemoto, Yumi Hasebe, Yuka Kitamura, Kazuyoshi Fukuda, Yoshiko Sakamoto, Masako Matsubara, Mio Minaguchi, Shinya Kashiwagi, Kenji J Clin Med Brief Report Purpose: To investigate how many tests need to be performed to adequately assess intraocular pressure (IOP) diurnal change using a self-measuring rebound tonometer among glaucoma patients. Subjects and Methods: Adult patients with primary open-angle glaucoma were included. IOP was measured in the morning (6 AM to 9 AM), afternoon (12 PM to 3 PM), and at night (6 PM to 9 PM) for seven consecutive days. Twenty-four (7 males and 17 females, mean age 59.5 ± 11.0 years) patients who successfully measured IOP at least three times per day during the correct time periods for four days were subjected to analysis. Results: The IOP rhythm was significantly greater on the first day of measurement (6.6 ± 3.6 mmHg) than that averaged during subsequent days (4.4 ± 2.2 mmHg). The time of the highest and lowest IOP measurements on the first day of IOP measurement and during the entire measurement period coincided in 72.9% and 64.6% of cases, respectively. The concordance rate of the highest IOP time between the whole measurement period and each measurement day was less than 60%. Conclusion: The diurnal IOP rhythm measured by the patients themselves was not consistent, and multiple days of measurements may be necessary to correctly assess diurnal IOP rhythm. MDPI 2023-03-23 /pmc/articles/PMC10094971/ /pubmed/37048542 http://dx.doi.org/10.3390/jcm12072460 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Shigemoto, Yumi
Hasebe, Yuka
Kitamura, Kazuyoshi
Fukuda, Yoshiko
Sakamoto, Masako
Matsubara, Mio
Minaguchi, Shinya
Kashiwagi, Kenji
Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title_full Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title_fullStr Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title_full_unstemmed Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title_short Repeated Measurements Are Necessary for Evaluating Accurate Diurnal Rhythm Using a Self-Intraocular Pressure Measurement Device
title_sort repeated measurements are necessary for evaluating accurate diurnal rhythm using a self-intraocular pressure measurement device
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094971/
https://www.ncbi.nlm.nih.gov/pubmed/37048542
http://dx.doi.org/10.3390/jcm12072460
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