Published March 31, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue3,Article118.pdf
Journal article Open

A Hospital-Based Study to Investigate Fluctuation of Intraocular Pressure (IOP) and Seasonal Variation of 24-Hour IOP

  • 1. PG 3rd year resident, Department of Ophthalmology, DMCH, Darbhanga, Bihar, India

Description

Aim: The aim of the present study was to investigate fluctuation of intraocular pressure (IOP) and seasonal variation of 24-hour IOP. Methods: The present study conducted in the Department of Ophthalmology, DMCH Darbhanga, Bihar, India for one year  and twenty healthy volunteers (10 females and 10 males) were recruited. Each subject received a comprehensive ophthalmic examination including slit-lamp and ophthalmoscopy examination, and no participant demonstrated any signs of ophthalmic and/or systemic diseases or had a family history of glaucoma. Results: The yearly fluctuation curve showed IOP in the summer months were lower than other seasons. This survey began in December and lasted until January. The lowest IOP was obtained during summer and the deviation between the lowest and highest IOP was an average of 0.4-0.5 mm Hg. Both eyes fitting curves yearly showed IOP fluctuation. It demonstrates that the winter months IOP are higher than those in the spring, summer and autumn months.  There was no significant relationship with other individual/environmental confounding factors. When evaluating temperature, IOP was significantly lower on hotter days (β=-0.9, P=0.012, temperature >24°C). The calculated β-value is rising with increasing of the sunshine duration, it gets to -0.5 when day length is above 48242.0s (about 13.5h). Moreover, the trend tests show statistically significant findings in temperature and sunshine duration. Conclusion: IOP is trend to be higher in cold days than warm days. IOP have negative association with both environmental temperature and duration of sunshine. On a season-to-season basis, 24-hour IOP is not highly reproducible in healthy volunteers.

 

 

 

Abstract (English)

Aim: The aim of the present study was to investigate fluctuation of intraocular pressure (IOP) and seasonal variation of 24-hour IOP. Methods: The present study conducted in the Department of Ophthalmology, DMCH Darbhanga, Bihar, India for one year  and twenty healthy volunteers (10 females and 10 males) were recruited. Each subject received a comprehensive ophthalmic examination including slit-lamp and ophthalmoscopy examination, and no participant demonstrated any signs of ophthalmic and/or systemic diseases or had a family history of glaucoma. Results: The yearly fluctuation curve showed IOP in the summer months were lower than other seasons. This survey began in December and lasted until January. The lowest IOP was obtained during summer and the deviation between the lowest and highest IOP was an average of 0.4-0.5 mm Hg. Both eyes fitting curves yearly showed IOP fluctuation. It demonstrates that the winter months IOP are higher than those in the spring, summer and autumn months.  There was no significant relationship with other individual/environmental confounding factors. When evaluating temperature, IOP was significantly lower on hotter days (β=-0.9, P=0.012, temperature >24°C). The calculated β-value is rising with increasing of the sunshine duration, it gets to -0.5 when day length is above 48242.0s (about 13.5h). Moreover, the trend tests show statistically significant findings in temperature and sunshine duration. Conclusion: IOP is trend to be higher in cold days than warm days. IOP have negative association with both environmental temperature and duration of sunshine. On a season-to-season basis, 24-hour IOP is not highly reproducible in healthy volunteers.

 

 

 

Files

IJPCR,Vol15,Issue3,Article118.pdf

Files (322.0 kB)

Name Size Download all
md5:47eb8af5c2237852b4131833680c7e7c
322.0 kB Preview Download

Additional details

Dates

Accepted
2023-03-06

References

  • 1. Resnikoff S, Pascolini D, Etya'ale D, et al. Global data on visual impairment in the year 2002. Bull World Health Org. 2004;82(11):844e851. 2. Tham YC, Li X, Wong TY, et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014; 121(11):2081e2090. 3. Leidl MC, Choi CJ, Syed ZA, Melki SA. Intraocular pressure fluctuation and glaucoma progression: what do we know? Br J Ophthalmol. 2014;98(10): 1315e1319. 4. Kim JH, Caprioli J. Intraocular pressure fluctuation: Is it important? J Ophthalmic Vis Res. 2018;13(2):170 e174. 5. Nakano T, Tatemichi M, Miura Y, et al. Long-term physiologic changes of intraocular pressure: a 10-year longitudinal analysis in young and middle-aged Japanese men. Ophthalm ology. 2005;112(4):609e616. 6. Itoh Y, Nakamoto K, Horiguchi H, et al. Twenty-four-hour variation of intraocular pressure in primary openangle glaucoma treated with triple eye drops. J Ophthalmol. 2017; 2017:4398 494. 7. Asrani S, Zeimer R, Wilensky J, et al. Large diurnal fluctuations in intraocular pressure are an independent risk factor in patients with glaucoma. J Glaucoma. 2000;9(2): 134e142. 8. Lee PP, Walt JW, Rosenblatt LC, et al. Association between intraocular pressure variation and glaucoma progression: data from a United States chart review. Am J Ophthalmol. 2007; 144(6):901e907. 9. Hong S, Seong GJ, Hong YJ. Longterm intraocular pressure fluctuation and progressive visual field deterioration in patients with glaucoma and low intraocular pressures after a triple procedure. Arch Ophthalmol. 2007;125(8):1010e1013. 10. Gardiner SK, Demirel S, Gordon MO, Kass MA. Seasonal changes in visual field sensitivity and intraocular pressure in the ocular hypertension treatment study. Ophthalmology. 2013;120(4):724e730. 11. Cheng JY, Xiao M, Xu H, Fang SB, Chen X, Kong XM, Sun XH. Seasonal changes of 24-hour intraocular pressure rhythm in healthy Shanghai population. Medicine (Baltimore). 2016; 95(31):e4453. 12. Mansouri K, Gillmann K, Rao HL, Weinreb RN, ARGOS-Study Group. Weekly and seasonal changes of intraocular pressure measured with an implanted intraocular telemetry sensor. Br J Ophthalmol. 2021;105(3):387- 391. 13. Tan SY, Yu M, Baig N, Chan PP, Tang FY, Tham CC. Circadian intraocular pressure fluctuation and disease progression in primary angle closure glaucoma. Invest Ophthalmol Vis Sci. 2015;56(8):4994-5005. 14. Song YK, Lee CK, Kim J, Hong SM, Kim CY, Seong GJ. Instability of 24- hour intraocular pressure fluctuation in healthy young subjects: a prospective,cross-sectional study. BMC Ophthalmol. 2014; 14:127. 15. Asrani S, Zeimer R, Wilensky J, Gieser D, Vitale S, Lindenmuth K. Large diurnal fluctuations in intraocular pressure are an independent risk factor in patients with glaucoma. J Glaucoma. 2000;9(2):134-142. 16. Tojo N, Abe S, Ishida M, Yagou T, Hayashi A. The fluctuation of intraocular pressure measured by a contact lens sensor in normal tension glaucoma patients and nonglaucoma subjects. J Glaucoma. 2017;26(3):195- 200. 17. Qureshi IA, Xi XR, Lu HJ, Wu XD, Huang YB, Shiarkar E. Effect of seasons upon intraocular pressure in healthy population of China. Korean J Ophthalmol. 1996;10(1):29-33. 18. Qureshi IA, Xi XR, Lu HJ, Wu XD, Huang YB, Shiarkar E. Effect of seasons upon intraocular pressure in healthy population of China. Korean J Ophthalmol. 1996;10(1):29-33. 19. Gardiner SK, Demirel S, Gordon MO, Kass MA, Ocular Hypertension Treatment Study Group. Seasonal changes in visual field sensitivity and intraocular pressure in the ocular hypertension treatment study. Ophthalmology. 2013;120(4):724-730. 20. Kilavuzoglu AE, Cosar CB, Bildirici I, Cetin O, Ozbasli E. Estrogen-and progesterone-induced variation in corneal parameters according to hormonal status. Eye & Contact Lens. 2018 Sep 1;44: S179-84. 21. Stoupel E, Goldenfeld M, Shimshoni M, Siegel R. Intraocular pressure (IOP) in relation to four levels of daily geomagnetic and extreme yearly solar activity. Int J Biometeorol. 1993;37(1): 42-45. 22. Klein BE, Klein R, Linton KL. Intraocular pressure in an American community. the beaver dam eye study. Invest Ophthalmol Vis Sci. 1992; 33(7) :2224-2228. 23. Sehi M, Flanagan JG, Zeng LL, Cook RJ, Trope GE. Relative change in diurnal mean ocular perfusion pressure: a risk factor for the diagnosis of primary open-angle glaucoma. Invest Ophthalmol Vis Sci. 2005;46 (2):561-567. 24. Realini T, Weinreb RN, Wisniewski SR. Diurnal intraocular pressure patterns are not repeatable in the short term in healthy individuals. Ophthalmology. 2010;117(9):1700- 170 4. 25. Song YK, Lee CK, Kim J, Hong S, Kim CY, Seong GJ. Instability of 24- hour intraocular pressure fluctuation in healthy young subjects: a prospective, cross-sectional study. BMC ophthalmology. 2014 Dec;14(1):1-8. 26. García-Resúa C, Giráldez Fernández MJ, Yebra-Pimentel E, GarcíaMontero S. Clinical evaluation of the Canon TX-10 noncontact tonometer in healthy eyes. Eur J Ophthalmol. 2010; 20(3):523-530. 27. Wahid R., & Rathinasamy E. V. L. Explore and Develop a Culturally Adopted Behavioral Psycho Educational Family Intervention for Caregivers of Schizophrenic Patients in Egyptian Context. Journal of Medical Research and Health Sciences. 2022; 5(2), 1779–1785.