Title Prospective pilot clinical study of noninvasive cerebrovascular autoregulation monitoring in open-angle glaucoma patients and healthy subjects /
Authors Hamarat, Yasin ; Deimantavicius, Mantas ; Dambrauskas, Vilius ; Labunskas, Vaidas ; Putnynaite, Vilma ; Lucinskas, Paulius ; Siaudvytyte, Lina ; Simiene, Evelina ; Stoskuviene, AkvilÄ— ; Januleviciene, Ingrida ; Petkus, Vytautas ; Ragauskas, Arminas
DOI 10.1167/tvst.11.2.17
Full Text Download
Is Part of Translational vision science & technology.. Rockville, MD : Association for research in vision and ophthalmology. 2022, vol. 11, iss. 2, art. no. 17, p. 1-10.. ISSN 2164-2591
Keywords [eng] open-angle glaucoma ; cerebrovascular autoregulation ; volumetric reactivity index ; normal-tension glaucoma ; high-tension glaucoma
Abstract [eng] Purpose: To analyze the cerebrovascular autoregulation (CA) dynamics in patients with normal-tension glaucoma (NTG) and high-tension glaucoma (HTG) as well as healthy subjects using noninvasive ultrasound technologies for the first time. Methods: The CA status of 10 patients with NTG, 8 patients with HTG, and 10 healthy subjects was assessed, using an innovative noninvasive ultrasonic technique, based on intracranial blood volume slow-wave measurements. Identified in each participant were intraocular pressure, ocular perfusion pressure, and CA-related parameter volumetric reactivity index (VRx), as well as the duration and doses of the longest cerebral autoregulation impairment (LCAI). In addition, we calculated the associations of these parameters with patients' diagnoses. Results: The VRx value, the LCAI dose, and duration in healthy subjects were significantly lower than in patients with NTG (P < 0.05). However, no significant differences were noted in these parameters between healthy subjects and HTG and between NTG and HTG groups. Conclusions: NTG is associated with the disturbed cerebral blood flow and could be diagnosed by performing noninvasive CA assessments. Translational Relevance: The VRx monitoring method can be applied to a wider range of patient groups, especially patients with normal-tension glaucoma.
Published Rockville, MD : Association for research in vision and ophthalmology
Type Journal article
Language English
Publication date 2022
CC license CC license description