Table 12: Summary of Studies Using a 24-Hour Curve for IOP Measurement.
Study, Year | Design | Population | Objective | IOP Parameters | Statistical Method | Timing of IOP Measurement | Results | Comment |
Jonas et al. 2007 (25) | Unclear if retrospective or prospective observational analysis. 855 eyes |
Chronic OAG NTG=174 eyes High pressure OAG=681 eyes |
To evaluate whether the amplitude of day and night IOP profiles influence the rate of progression of chronic OAG. | Mean Fluctuation Peak | Multiple Cox proportional hazard regression | At least 2 IOP curves with measurements 5pm, 9pm, midnight, 7am and noon. | Median followup=51.5 months; range 5.4 to 124.9 months 163/855 eyes showed progression. High Pressure OAG Progression significantly associated with age (P>0.001), not mean IOP or amplitude. NTG Progression significantly associated with higher mean IOP(P=0.04), but not amplitude (P=0.05). |
All patients were on routine ophthalmic care including topical application of antiglaucoma drugs. |
Choi et al. 2007 (24) | Retrospective chart review 113 eyes |
NTG No previous or current use of antiglaucoma drugs |
To investigate systemic and ocular hemodynamic risk factors for glaucomatous damage in eyes with NTG. | Mean Fluctuation Peak | Multivariate regression | Every 2 hours between 12pm and 10am, except for the period between 12am and 6am when measurements were every 3 hours. | Mean IOP, peak IOP and fluctuation were not significantly associated with VF or optic disc worsening (p<0.05). | Patients on hypertension or other hemodynamically active drugs not excluded. |
IOP refers to intraocular pressure; NTG, normal tension glaucoma; OAG, open angle glaucoma; RCT, randomized controlled trial; SD, standard deviation; VF, visual field