1
|
Kaya O, Akif Aydin M, Teymoori M, Kaan Erden O, Sadeghzadeh S, Dedeoglu UO, Demir S, Muhikanci O, Sahin A, Torun H, Dundar G, Yalcinkaya AD. A first-in-human pilot study of a novel electrically-passive metamaterial-inspired resonator-based ocular sensor embedded contact lens monitoring intraocular pressure fluctuations. Cont Lens Anterior Eye 2024; 47:102102. [PMID: 38114379 DOI: 10.1016/j.clae.2023.102102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 11/29/2023] [Accepted: 12/03/2023] [Indexed: 12/21/2023]
Abstract
Glaucoma is a leading cause of blindness with no cure, but early treatment and effective monitoring can often slow the progression of the disease. Monitoring of glaucoma is based on the measurement of intra-ocular pressure (IOP) that is a physiological parameter related to the mechanical state and parameters of the eye. Conventionally, diagnosing and assessing the progression of glaucoma is based on the method of measuring IOP discretely at clinics. Recent studies have demonstrated the importance of continuously monitoring IOP for 24 h to elucidate the effect of circadian rhythm. In this work, a metamaterial-inspired electrically-passive sensor-embedded contact lens is presented to monitor the IOP fluctuations based on a first-in-human pilot study. The sensor inside the contact lens is an electrically passive, metamaterial-based resonator that can be measured using a wearable antenna patch. The system has been tested with six healthy volunteers during an experiment to induce deliberate IOP changes via water-loading and placing the individuals in supine position using a recliner seat. The initial data compared with tonometer measurements suggest that the system can be used to assess the variation of IOP continuously.
Collapse
Affiliation(s)
- Ozgur Kaya
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - M Akif Aydin
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - Morteza Teymoori
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - Oguz Kaan Erden
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | | | - Ulas O Dedeoglu
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - Saibe Demir
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - Omer Muhikanci
- Glakolens, Bogazici Universitesi Teknopark 302, 34470 Istanbul, Turkiye
| | - Afsun Sahin
- Department of Ophthalmology, Koc University Medical School, Istanbul, Turkiye
| | - Hamdi Torun
- Faculty of Engineering & Environment, University of Northumbria, Newcastle Upon Tyne, NE1 8ST, UK.
| | - Gunhan Dundar
- Department of Electrical and Electronics Engineering, Bogazici University, Bebek 34342 Istanbul, Turkiye
| | - Arda D Yalcinkaya
- Department of Electrical and Electronics Engineering, Bogazici University, Bebek 34342 Istanbul, Turkiye
| |
Collapse
|
2
|
Maldoddi R, Thakur S, Verkicharla PK. Near work, light levels and dioptric profile - Which factor dominates and influences the short-term changes in axial length? Ophthalmic Physiol Opt 2023; 43:426-434. [PMID: 36734816 DOI: 10.1111/opo.13103] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 01/14/2023] [Accepted: 01/18/2023] [Indexed: 02/04/2023]
Abstract
PURPOSE Given the agonistic nature of near work to promote axial elongation and the antagonistic nature of time outdoors to prevent myopia, we aimed to investigate the following: (a) how the short-term effect of near work performed outdoors (Experiment 1) influences axial length and (b) how near work performed in two different dioptric profiles (uncluttered and cluttered) alters the changes in central axial length (Experiment 2). METHODS Forty-six adults (age range: 19-32 years) participated in the study. In Experiment 1, 22 participants completed a 15-min distance task and a reading task in both the outdoor (~30,000 lux) and indoor (~70 lux) locations. In Experiment 2, 24 participants performed the same reading task at a study desk in uncluttered and cluttered reading environments. Pre- and post-task ocular biometry measurements were performed for each session using a non-contact biometer. RESULTS In Experiment 1, a significant increase in axial length from baseline was found after performing reading tasks in both outdoor (mean ± SEM: +12.3 ± 3.4 μm, p = 0.001) and indoor locations (+11.9 ± 3.1 μm, p = 0.001). In Experiment 2, axial length increased significantly from baseline to post reading task, in both uncluttered (+17.9 ± 3.5 μm, p < 0.001) and cluttered reading environments (+19.2 ± 2.9 μm, p < 0.001). No significant changes in axial length were observed either between outdoor and indoor locations (p = 0.92) or between the uncluttered and cluttered reading environment (p = 0.75). CONCLUSION Independent of light intensity (outdoor or indoor location) and dioptric profile of the near-work environment (uncluttered or cluttered), a 15-min reading task led to a significant increase in axial length. While the long-term effects of these findings need to be evaluated, practitioners should emphasise how near work can reduce the beneficial effects of time outdoors, while providing recommendations related to time outdoors for myopia control.
Collapse
Affiliation(s)
- Rakesh Maldoddi
- Myopia Research Lab, Prof. Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Swapnil Thakur
- Myopia Research Lab, Prof. Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Pavan K Verkicharla
- Myopia Research Lab, Prof. Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India.,Infor Myopia Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
| |
Collapse
|
3
|
Chakraborty R, Baranton K, Spiegel D, Lacan P, Guillon M, Barrau C, Villette T. Effects of mild‐ and moderate‐intensity illumination on short‐term axial length and choroidal thickness changes in young adults. Ophthalmic Physiol Opt 2022; 42:762-772. [DOI: 10.1111/opo.12988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 03/24/2022] [Accepted: 03/24/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Ranjay Chakraborty
- College of Nursing and Health Sciences, Optometry and Vision Science Flinders University Adelaide South Australia Australia
- Caring Futures Institute Flinders University Adelaide South Australia Australia
| | - Konogan Baranton
- Center Innovation & Technologies Europe Essilor International SAS Charenton‐le‐Pont France
| | | | - Pascale Lacan
- Center Innovation & Technologies Europe Essilor International SAS Charenton‐le‐Pont France
| | - Matthias Guillon
- Center Innovation & Technologies Europe Essilor International SAS Charenton‐le‐Pont France
| | - Coralie Barrau
- Center Innovation & Technologies Europe Essilor International SAS Charenton‐le‐Pont France
| | - Thierry Villette
- Center Innovation & Technologies Europe Essilor International SAS Charenton‐le‐Pont France
| |
Collapse
|
4
|
Vera J, Redondo B, Molina R, Jiménez R. Effects of water drinking on corneal biomechanics: The association with intraocular pressure changes. Indian J Ophthalmol 2022; 70:1222-1228. [PMID: 35326020 PMCID: PMC9240569 DOI: 10.4103/ijo.ijo_1845_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Purpose: We aimed to assess the impact of drinking water (500 and 1000 mL) on corneal biomechanics and determine the level of association between changes in intraocular pressure and variations in the different biomechanical properties of the cornea. Methods: A total of 39 healthy young adults ingested either 1000 mL (n = 21) or 500 mL (n = 18) of tap water in 5 min. The CorVis ST system was used to assess corneal biomechanics at baseline and at 15, 30, and 45 min after water ingestion. Results: Water drinking induced statistically significant changes in the deformation amplitude (P < 0.001, η² = 0.166), highest concavity time (P = 0.012, η² = 0.093), peak distance (P < 0.001, η² = 0.171), time and velocity of the first applanation (P < 0.001, η² = 0.288 and P = 0.016, η² = 0.087, respectively), and time and velocity of the second applanation (P = 0.030, η² = 0.074 and P = 0.001, η² = 0.132, respectively), being independent of the amount of water ingested (P > 0.05 in all cases). There were significant associations between changes in intraocular pressure and some parameters of corneal biomechanics Conclusion: Small variations in whole-body hydration status alter different biomechanical properties of the cornea, with these changes being associated with intraocular pressure levels. These findings indicate that whole-body hydration status can be considered for the diagnosis and management of different ocular conditions.
Collapse
Affiliation(s)
- Jesús Vera
- Department of Optics, Faculty of Sciences, University of Granada, Spain
| | - Beatríz Redondo
- Department of Optics, Faculty of Sciences, University of Granada, Spain
| | - Rubén Molina
- Department of Optics, Faculty of Sciences, University of Granada, Spain
| | - Raimundo Jiménez
- Department of Optics, Faculty of Sciences, University of Granada, Spain
| |
Collapse
|
5
|
Behera G, Kaliaperumal S. Commentary: The utility of water-drinking test and corneal biomechanics in glaucoma. Indian J Ophthalmol 2022; 70:1229-1230. [PMID: 35326021 PMCID: PMC9240534 DOI: 10.4103/ijo.ijo_3029_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Affiliation(s)
- Geeta Behera
- Department of Ophthalmology, Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India
| | - Subashini Kaliaperumal
- Department of Ophthalmology, Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India
| |
Collapse
|
6
|
Akkara JD, Kuriakose A. Commentary: Water, water everywhere; alters eye when you drink. Indian J Ophthalmol 2022; 70:1230-1231. [PMID: 35326022 PMCID: PMC9240575 DOI: 10.4103/ijo.ijo_3041_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Affiliation(s)
- John D Akkara
- Department of Ophthalmology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu; Department of Glaucoma, Westend Eye Hospital, Cochin, Kerala, India
| | - Anju Kuriakose
- Department of Retina, Aravind Eye Hospital, Chennai, Tamil Nadu, India
| |
Collapse
|
7
|
Shokoohi-Rad S, Shoeibi N, Ghasemi Nour M, Bakhtiari E. Evaluation of the Effect of Religious Fasting on Retinal Vessel Density and Retinal Thickness Using Optical Coherence Tomography Angiography. Neuroophthalmology 2021; 46:147-153. [DOI: 10.1080/01658107.2021.1995442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Saeed Shokoohi-Rad
- Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nasser Shoeibi
- Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mohammad Ghasemi Nour
- Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Student Research Committee, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Elham Bakhtiari
- Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
8
|
Józwik A, Asejczyk-Widlicka M, Kurzynowski P, Pierscionek BK. How a dynamic optical system maintains image quality: Self-adjustment of the human eye. J Vis 2021; 21:6. [PMID: 33656560 PMCID: PMC7938001 DOI: 10.1167/jov.21.3.6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The eyeball is continually subjected to forces that cause alterations to its shape and dimensions, as well as to its optical components. Forces that induce accommodation result in an intentional change in focus; others, such as the effect of intraocular pressure fluctuations, are more subtle. Although the mechanical properties of the eyeball and its components permit mediation of such subtle forces, the concomitant optical changes are not detected by the visual system. Optical self-adjustment is postulated as the mechanism that maintains image quality. The purpose of this study was to investigate how self-adjustment occurs by using an optical model of the eyeball and to test the requisite optical and biometric conditions.
Collapse
Affiliation(s)
- Agnieszka Józwik
- Department of Optics and Photonics, Faculty of Fundamental Problems of Technology, Wroclaw University of Science and Technology, Wroclaw, Poland.,
| | - Magdalena Asejczyk-Widlicka
- Department of Optics and Photonics, Faculty of Fundamental Problems of Technology, Wroclaw University of Science and Technology, Wroclaw, Poland.,
| | - Piotr Kurzynowski
- Department of Optics and Photonics, Faculty of Fundamental Problems of Technology, Wroclaw University of Science and Technology, Wroclaw, Poland.,
| | | |
Collapse
|
9
|
Abstract
SIGNIFICANCE This is a proof-of-concept study showing the possibility of pharmacological control for choroidal thickness using pilocarpine as an agent that causes 2 to 5% choroidal thinning in healthy eyes after the instillation. PURPOSE The purpose of this article was to study the effect of instillation of 1% pilocarpine on choroidal thickness in healthy subjects. METHODS Sixteen healthy individuals (seven males and nine females; mean ± standard deviation age, 25.8 ± 3.3 years) were included. All participants received optical coherence tomography to evaluate subfoveal choroidal thickness (SCT) and choroidal area on cross-sectional scan within 4-mm central area. Axial length was measured using optical biometry. Optical coherence tomography was performed before and after pilocarpine was instilled six times for a 75-minute period in one eye; the fellow eye was used as the control. Subfoveal choroidal thickness and choroidal area were measured by two masked graders in random fashion and averaged for analysis. RESULTS After instillation of 1% pilocarpine, percentage SCT change in study and control eye was -3.3 ± 3.8% and 0.4 ± 3.2%, respectively (P = .03). Percentage change choroidal area in study and control eye was -2.3 ± 2.5% and 0.8 ± 3.3%, respectively (P < .001). There was a correlation between percentage SCT change and axial length (r = -0.56, P < .001), as well as between percentage SCT change and baseline SCT (r = 0.72, P < .001). CONCLUSIONS Instillation of 1% pilocarpine causes a decrease of choroidal thickness, which is more substantial in eyes with short axial length and thick choroid.
Collapse
|
10
|
Najmanová E, Pluháček F, Haklová M. Intraocular pressure response affected by changing of sitting and supine positions. Acta Ophthalmol 2020; 98:e368-e372. [PMID: 31602816 PMCID: PMC7216979 DOI: 10.1111/aos.14267] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 09/15/2019] [Indexed: 01/14/2023]
Abstract
PURPOSE To assess the intraocular pressure (IOP) time response to change in body position from sitting to supine and from supine to sitting immediately and during rest in each position. METHODS Forty-four visually healthy volunteers were recruited for the study. The experiment consisted of the initial sitting position (baseline state), the subsequent lying period and the final sitting period. Both periods were 30 min long. The IOP was measured in the baseline state, immediately after each position change and then in minutes 5, 15, 25 and 30 during each period. The Icare Pro® rebound tonometer was used. RESULTS The mean IOP increased after each position change (2.6 ± 2.4 mmHg after lying down and 2.1 ± 3.1 mmHg after sitting up) and then gradually decreased with time. The mean IOP was 1.41 ± 2.4 mmHg higher in the lying period than in the sitting period; the mean difference was smaller for the lower baseline (0.9 ± 2.2 mmHg) than the higher baseline (1.9 ± 2.5 mmHg). The mean IOP in the final sitting was significantly lower (2.5 ± 1.9 mmHg) than in the initial sitting position. The effect of sex was insignificant. CONCLUSIONS There was an immediate increase in IOP as a response to both changes in the body position and the subsequent gradual decrease with time. The IOP difference between lying and sitting position was depended on baseline.
Collapse
Affiliation(s)
- Eliška Najmanová
- Faculty of ScienceDepartment of OpticsPalacký University OlomoucOlomoucCzech Republic
| | - František Pluháček
- Faculty of ScienceDepartment of OpticsPalacký University OlomoucOlomoucCzech Republic
| | - Markéta Haklová
- Faculty of ScienceDepartment of OpticsPalacký University OlomoucOlomoucCzech Republic
| |
Collapse
|
11
|
Nilforushan N, Abolfathzadeh N, Banifatemi M, Miraftabi A, Sardarinia M, Alemzadeh SA, Nilforushan A. Effects of fasting on peripapillary capillary density, peripapillary nerve fiber layer, intraocular pressure and central corneal thickness. Int Ophthalmol 2020; 40:1439-1447. [DOI: 10.1007/s10792-020-01310-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 02/10/2020] [Indexed: 11/28/2022]
|
12
|
Duru Z. The effect of voluntary fasting and dehydration on posterior ocular structures. Cutan Ocul Toxicol 2019; 38:190-195. [DOI: 10.1080/15569527.2019.1573245] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Zeynep Duru
- Department of Ophthalmology, Kayseri Education and Research Hospital, Kayseri, Turkey
| |
Collapse
|
13
|
Stewart IB, Dias B, Borg DN, Bach AJE, Feigl B, Costello JT. Intraocular Pressure Is a Poor Predictor of Hydration Status following Intermittent Exercise in the Heat. Front Physiol 2017; 8:36. [PMID: 28203205 PMCID: PMC5285388 DOI: 10.3389/fphys.2017.00036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 01/13/2017] [Indexed: 11/23/2022] Open
Abstract
Current hydration assessments involve biological fluids that are either compromised in dehydrated individuals or require laboratory equipment, making timely results unfeasible. The eye has been proposed as a potential site to provide a field-based hydration measure. The present study evaluated the efficacy and sensitivity of intraocular pressure (IOP) to assess hydration status. Twelve healthy males undertook two 150 min walking trials in 40°C 20% relative humidity. One trial matched fluid intake to body mass loss (control, CON) and the other had fluid restricted (dehydrated, DEH). IOP (rebound tonometry) and hydration status (nude body mass and serum osmolality) were determined every 30 min. Body mass and serum osmolality were significantly (p < 0.05) different between trials at all-time points following baseline. Body mass losses reached 2.5 ± 0.2% and serum osmolality 299 ± 5 mOsmol.kg−1 in DEH. A significant trial by time interaction was observed for IOP (p = 0.042), indicating that over the duration of the trials IOP declined to a greater extent in the DEH compared with the CON trial. Compared with baseline measurements IOP was reduced during DEH (150 min: −2.7 ± 1.9 mm Hg; p < 0.05) but remained stable in CON (150 min: −0.3 ± 2.4 mm Hg). However, using an IOP value of 13.2 mm Hg to predict a 2% body mass loss resulted in only 57% of the data being correctly classified (sensitivity 55% and specificity 57%). The use of ΔIOP (−2.4 mm Hg) marginally improved the predictive ability with 77% of the data correctly classified (sensitivity: 55%; specificity: 81%). The present study provides evidence that the large inter-individual variability in baseline IOP and in the IOP response to progressive dehydration, prevents the use of IOP as an acute single assessment marker of hydration status.
Collapse
Affiliation(s)
- Ian B Stewart
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of Technology Brisbane, QLD, Australia
| | - Brittany Dias
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of Technology Brisbane, QLD, Australia
| | - David N Borg
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of Technology Brisbane, QLD, Australia
| | - Aaron J E Bach
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of Technology Brisbane, QLD, Australia
| | - Beatrix Feigl
- School of Biomedical Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of Technology Brisbane, QLD, Australia
| | - Joseph T Costello
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland University of TechnologyBrisbane, QLD, Australia; Extreme Environments Laboratory, Department of Sport and Exercise Science, University of PortsmouthPortsmouth, UK
| |
Collapse
|
14
|
|
15
|
Relationship Between Subfoveal Choroidal Thickness, Ocular Pulse Amplitude, and Intraocular Pressure in Healthy Subjects. J Glaucoma 2016; 25:613-7. [DOI: 10.1097/ijg.0000000000000401] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
|
16
|
Sherwin JC, Kokavec J, Thornton SN. Hydration, fluid regulation and the eye: in health and disease. Clin Exp Ophthalmol 2015; 43:749-64. [DOI: 10.1111/ceo.12546] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Accepted: 04/30/2015] [Indexed: 12/01/2022]
Affiliation(s)
- Justin C Sherwin
- Royal Victorian Eye and Ear Hospital; Melbourne Victoria Australia
- Lions Eye Institute; University of Western Australia; Centre for Ophthalmology and Visual Science; Perth Western Australia Australia
| | - Jan Kokavec
- South Australian Institute of Ophthalmology; Royal Adelaide Hospital; Adelaide South Australia Australia
| | - Simon N Thornton
- Université de Lorraine; Nancy France
- INSERM U1116; Vandoeuvre les Nancy France
| |
Collapse
|
17
|
Baser G, Cengiz H, Uyar M, Seker Un E. Diurnal Alterations of Refraction, Anterior Segment Biometrics, and Intraocular Pressure in Long-Time Dehydration due to Religious Fasting. Semin Ophthalmol 2014; 31:499-504. [PMID: 25409203 DOI: 10.3109/08820538.2014.962179] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To investigate the effects of dehydration due to fasting on diurnal changes of intraocular pressure, anterior segment biometrics, and refraction. SUBJECTS AND METHODS The intraocular pressures, anterior segment biometrics (axial length: AL; Central corneal thickness: CCT; Lens thickness: LT; Anterior chamber depth: ACD), and refractive measurements of 30 eyes of 15 fasting healthy male volunteers were recorded at 8:00 in the morning and 17:00 in the evening in the Ramadan of 2013 and two months later. The results were compared and the statistical analyses were performed using the Rstudio software version 0.98.501. The variables were investigated using visual (histograms, probability plots) and analytical methods (Kolmogorov-Smirnov/Shapiro-Wilk test) to determine whether or not they were normally distributed. RESULTS The refractive values remained stable in the fasting as well as in the control period (p = 0.384). The axial length measured slightly shorter in the fasting period (p = 0.001). The corneal thickness presented a diurnal variation, in which the cornea measured thinner in the evening. The difference between the fasting and control period was not statistically significant (p = 0.359). The major differences were observed in the anterior chamber depth and IOP. The ACD was shallower in the evening during the fasting period, where it was deeper in the control period. The diurnal IOP difference was greater in the fasting period than the control period. Both were statistically significant (p = 0.001). The LT remained unchanged in both periods. CONCLUSIONS The major difference was shown in the anterior chamber shallowing in the evening hours and IOP. Our study contributes the hypothesis that the posterior segment of the eye is more responsible for the axial length alterations and normovolemia has a more dominant influence on diurnal IOP changes.
Collapse
Affiliation(s)
- Gonen Baser
- a Department of Ophthalmology , Sifa University Medical Faculty , Izmir , Turkey
| | - Hakan Cengiz
- a Department of Ophthalmology , Sifa University Medical Faculty , Izmir , Turkey
| | - Murat Uyar
- a Department of Ophthalmology , Sifa University Medical Faculty , Izmir , Turkey
| | - Emine Seker Un
- a Department of Ophthalmology , Sifa University Medical Faculty , Izmir , Turkey
| |
Collapse
|
18
|
Hong J, Zhang H, Kuo DS, Wang H, Huo Y, Yang D, Wang N. The short-term effects of exercise on intraocular pressure, choroidal thickness and axial length. PLoS One 2014; 9:e104294. [PMID: 25170876 PMCID: PMC4149344 DOI: 10.1371/journal.pone.0104294] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Accepted: 07/11/2014] [Indexed: 01/22/2023] Open
Abstract
Purpose To explore ocular changes in healthy people after exercise. Methods Twenty five volunteers underwent exercise for 15 minutes on a treadmill. Measurements of choroidal thickness, intraocular pressure (IOP), ocular biometry, and blood pressure were taken before and after exercise. Enhanced Depth Imaging optical coherence tomography (EDI-OCT) was used to measure choroidal thickness at the fovea. Intraocular pressure (IOP) was measured by Goldmann applanation tonometry. Ocular biometric measures were collected using A scan ultrasound. Blood pressure was measured concurrently with the acquisition of the scans. Results Twenty five volunteers (25 eyes) with a mean age of 25.44±3.25 years were measured. There was a significant increase in systolic and diastolic pressure after exercise (P<0.05). The IOP showed a significant decrease after exercise (P<0.05). However there was no significant difference in the mean choroidal thickness, ocular axial length, anterior chamber depth, lens thickness, or vitreous length before and after exercise measurements (P>0.05). Conclusion There was a significant decrease in IOP from exercise without a change in choroidal thickness and ocular biometric measures. IOP and choroidal thickness were not correlated, suggesting that the IOP decrease from exercise is not due to changes in choridal thickness.
Collapse
Affiliation(s)
- Jie Hong
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Hui Zhang
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Debbie S. Kuo
- Department of Ophthalmology, University of California San Francisco School of Medicine, San Francisco, California, United States of America
| | - Huaizhou Wang
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yanjiao Huo
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Diya Yang
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Ningli Wang
- Beijing Tongren Eye Center, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- * E-mail:
| |
Collapse
|
19
|
Effects of a Water-loading Test on Intraocular Pressure and Corneal Hysteresis in Young Healthy Subjects. J Glaucoma 2014; 23:101-4. [DOI: 10.1097/ijg.0b013e318264ce7c] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
20
|
Does fundus fluorescein angiography procedure affect ocular pulse amplitude? J Ophthalmol 2013; 2013:942972. [PMID: 23984045 PMCID: PMC3745956 DOI: 10.1155/2013/942972] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2013] [Revised: 06/02/2013] [Accepted: 06/02/2013] [Indexed: 11/18/2022] Open
Abstract
Purpose. This study examines the effects of fundus fluorescein angiography (FFA) procedure on ocular pulse amplitude (OPA) and intraocular pressure (IOP). Materials and Methods. Sixty eyes of 30 nonproliferative diabetic retinopathy patients (15 males, 15 females) were included in this cross-sectional case series. IOP and OPA were measured with the Pascal dynamic contour tonometer before and after 5 minutes of intravenous fluorescein dye injection. Results. Pre-FFA mean OPA value was 3.05 ± 1.36 mmHg and post-FFA mean OPA value was 2.93 ± 1.28 mmHg (P = 0.071). Pre-FFA mean IOP value was 17.97 ± 1.99 mmHg and post-FFA mean IOP value was 17.81 ± 2.22 mmHg (P = 0.407). Conclusion. Although both mean OPA and IOP values were decreased after FFA procedure, the difference was not statistically significant. This clinical trial is registered with Australian New Zealand Clinical Trials Registry number ACTRN12613000433707.
Collapse
|
21
|
Changes in choroidal thickness, axial length, and ocular perfusion pressure accompanying successful glaucoma filtration surgery. Eye (Lond) 2013; 27:940-5. [PMID: 23743533 DOI: 10.1038/eye.2013.116] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Accepted: 05/05/2013] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To investigate the changes in choroidal thickness (CT), axial length (AL), and ocular perfusion pressure (OPP) accompanying intraocular pressure (IOP) reduction after trabeculectomy. methods: Thirty-nine eyes of 39 patients with primary open-angle glaucoma uncontrolled by medical therapy were included in this prospective and interventional study. All patients underwent a fornix-based trabeculectomy. The CT was measured by enhanced depth imaging-optical coherence tomography. IOP, AL, and systolic/diastolic blood pressure were also measured, and OPP was calculated. All measurements were performed at baseline and 1 month after surgery. RESULTS The mean IOP was 25.0 ± 5.8 mm Hg at baseline and 11.7 ± 2.6 mm Hg after trabeculectomy (P<0.001), and the mean subfoveal CT was 295 ± 84 mm Hg at baseline and 331 ± 82 mm Hg after trabeculectomy (P<0.001). The mean AL was 23.64 ± 0.98 mm at baseline and 23.54 ± 0.96 mm after trabeculectomy (P<0.001), whereas the mean OPP was 38.8 ± 6.2 mm Hg preoperatively, and 51.1 ± 7.3 mm Hg postoperatively (P<0.001). The change in CT negatively correlated with the change in IOP (r=-0.785, P<0.001) and AL (r=-0.693, P<0.001), whereas it positively correlated with the change in OPP (r=0.418, P=0.008). CONCLUSION These results suggest that the large IOP decrease following trabeculectomy causes choroidal thickening. In addition, CT changes are associated with IOP and AL reduction as well as OPP increase.
Collapse
|
22
|
Hata M, Hirose F, Oishi A, Hirami Y, Kurimoto Y. Changes in choroidal thickness and optical axial length accompanying intraocular pressure increase. Jpn J Ophthalmol 2012; 56:564-8. [PMID: 22886000 DOI: 10.1007/s10384-012-0173-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Accepted: 06/07/2012] [Indexed: 10/28/2022]
Abstract
PURPOSE To measure changes in choroidal thickness (CT), retinal thickness (RT), and axial length (AL) accompanying intraocular pressure (IOP) increase and to investigate the changes in axial eye dimensions induced by IOP increase. METHODS Thirty-four eyes of 34 patients undergoing a diagnostic provocative test for primary angle closure (PAC). Patients with other macular diseases were excluded. Patients underwent the darkroom prone provocative test (DR-PPT) for 1 h. We measured CT and RT at the fovea by optical coherence tomography with the enhanced depth imaging method and AL with noncontact, partial coherence laser interferometry before and after the DR-PPT. RESULTS There was a statistically significant increase in the mean (SD) IOP of 7.3 (9.2) mmHg and the mean (SD) AL of 0.06 (0.12) mm after the DR-PPT (P < 0.001 and P = 0.014, respectively). There was a statistically significant decrease in the mean (SD) subfoveal CT of 30.0 (36.8) μm (P < 0.001), while there was no significant change in the mean foveal RT. The change in subfoveal CT was negatively correlated with the changes in IOP (r = -0.71, P < 0.001) and AL (r = -0.54, P = 0.004). CONCLUSIONS In eyes suspected of having PAC, acutely increased IOP accompanies choroid thinning and corresponding elongation of the optical axis.
Collapse
Affiliation(s)
- Masayuki Hata
- Department of Ophthalmology, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, Kobe 650-0047, Japan
| | | | | | | | | |
Collapse
|
23
|
Sollanek KJ, Kenefick RW, Walsh NP, Fortes MB, Esmaeelpour M, Cheuvront SN. Assessment of thermal dehydration using the human eye: What is the potential? J Therm Biol 2012. [DOI: 10.1016/j.jtherbio.2011.12.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
24
|
Read SA, Collins MJ, Annis-Brown T, Hayward NM, Lillyman K, Sherwin D, Stockall P. The short-term influence of elevated intraocular pressure on axial length. Ophthalmic Physiol Opt 2011; 31:398-403. [DOI: 10.1111/j.1475-1313.2011.00845.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
25
|
Read SA, Collins MJ. The short-term influence of exercise on axial length and intraocular pressure. Eye (Lond) 2011; 25:767-74. [PMID: 21423141 DOI: 10.1038/eye.2011.54] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The aim of this study is to investigate the short-term influence of a period of dynamic exercise on axial length (AXL) and intraocular pressure (IOP) in young adult subjects. PATIENTS AND METHODS In all, 20 young adult subjects (10 myopes and 10 emmetropes) participated. Baseline measures of ocular biometrics, IOP and ocular pulse amplitude (OPA) were taken following a 20-min rest period. Subjects then performed 10 min of moderate intensity, low impact dynamic exercise (bicycle ergometry). Measures of ocular biometrics, IOP and OPA were repeated immediately after, and then 5 and 10 min after this exercise task. Systemic blood pressure and pulse rate were also monitored. A repeated measures analysis of variance was used to investigate the changes in the measured parameters. RESULTS Exercise resulted in significant changes in a range of ocular parameters. A small but significant decrease in AXL was observed following exercise (P<0.0001). The largest change in AXL was noted immediately following exercise (mean decrease -17±10 μm). IOP and OPA also decreased significantly following exercise (P<0.0001). A moderate but significant positive association was found between the changes in AXL and the changes in IOP (r(2)=0.36, P<0.0001). There were no significant differences found between the myopic and emmetropic subjects in the magnitude of changes observed in ocular parameters following exercise. CONCLUSION The physiological effects of dynamic exercise lead to changes in a range of ocular parameters, including significant reductions in IOP, OPA and decreases in AXL.
Collapse
Affiliation(s)
- S A Read
- Contact Lens and Visual Optics Laboratory, School of Optometry, Queensland University of Technology, Brisbane, Queensland, Australia.
| | | |
Collapse
|