Glaucomatous optic nerve head alterations in patients with chronic heart failure.

Clinical Ophthalmology
Daniel Meira-FreitasAugusto Paranhos

Abstract

To evaluate the association between chronic heart failure (CHF) and optic nerve head alterations. A cross-sectional study was performed. Heart failure patients with recent echocardiograms were subjected to ophthalmologic examinations, including intraocular pressure measurement, optic nerve head, and retinal nerve fiber layer evaluation using stereophotography, Heidelberg retinal tomography, and standard automated perimetry. The ocular findings were correlated with the cardiological evaluation, and compared with a control group without cardiopathy. A total of 30 patients with CHF and 30 individuals without cardiopathy were enrolled in this study. The mean (standard deviation [SD]) intraocular pressure was 12.3 (2.5) mmHg in the CHF group, and 14.7 (2.9) mmHg in the control group (P < 0.001). The mean (SD) arterial blood pressure was 86.9 (17.1) mmHg in the CHF group, and 103.6 (15.2) mmHg in the control group (P < 0.001). The mean (SD) ocular perfusion pressure was 45.6 (11.1) mmHg in the CHF group, and 54.4 (10.4) mmHg in the control group (P = 0.001). The mean (SD) rim area was 1.41 (0.3) mm(2) in the CHF group, and 1.60 (0.26) mm(2) in the control group (P = 0.003). The mean (SD) vertical cup/disc ratio was 0.51 (0.17) in the...Continue Reading

Citations

Sep 11, 2020·Journal of Clinical Medicine·Klaudia RakusiewiczLidia Ziółkowska
Jul 9, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Maged AlnawaisehPhilipp Sebastian Lange

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