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A Population-based Investigation of Circadian Rhythm of Intraocular Pressure in Habitual Position Among Healthy Subjects: The Handan Eye Study

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机构: [1]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [3]Beijing Eye Inst, Beijing, Peoples R China [4]Capital Med Univ, Beijing, Peoples R China [5]Aier Ophthalmol Hosp, Nanjing, Jiangsu, Peoples R China [6]Hebei Eye Hosp, Hebei Key Lab Ophthalmol, Xingtai, Peoples R China [7]Handan Eye Hosp, Handan, Peoples R China [8]Univ Calif San Diego, Hamilton Glaucoma Ctr, La Jolla, CA 92093 USA [9]Univ Calif San Diego, Dept Ophthalmol, La Jolla, CA 92093 USA
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关键词: intraocular pressure circadian rhythm reference value peak-trough difference habitual position

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Purpose: (1) To investigate the reference value of peak-trough difference in circadian rhythm of intraocular pressure (IOP) in habitual position and (2) to compare the IOP parameters among 3 age groups. Materials and Methods: Habitual IOP of healthy subjects sampled from the population in the Handan Eye Study was measured every 2 hours in the seated position during light-wake period (7: 30 AM, 9: 30 AM, 11: 30 AM, 1: 30 PM, 3: 30 PM, 5: 30 PM, 7: 30 PM, 9: 30 PM) and in the supine position during dark-sleep period (11: 30 PM, 1: 30 AM, 3: 30 AM, 5: 30 AM). Blood pressure and heart rate were obtained subsequently at each IOP measurement. Results: Two hundred six healthy subjects were included in the final analyses (n = 20, 30 to 39 y old; n = 95, 40 to 49 y old; n = 91, 50 to 59 y old). For peak-trough difference (7.2 +/- 2.3 mm Hg; 6.8 to 7.5 mm Hg, 95% confidence interval) in habitual position, the reference value was described as median 7.0 mm Hg, 25th percentile 5.5 mm Hg, and 95th percentile 11.5 mm Hg. No significant differences in peak-trough difference, acrophase (cosine-fit analysis derived peak timing) and amplitude (half distance between the cosine-fit maximum and minimum) were found among the 3 age groups. In the cosine model, the nocturnal acrophase (3: 49 +/- 0.53 AM; 3: 42 to 3: 55 AM, 95% confidence interval) was detected for the entire group. Furthermore, 106 subjects (52%) had a nocturnal peak pattern, 36 subjects (17%) had a diurnal peak pattern, and 64 subjects (31%) had no evident pattern. Conclusions: In habitual position, 75% of healthy subjects from a population-based investigation had IOP variation > 5.5mm Hg and 95% subjects had < 11.5 mm Hg variation. Aging may not influence the circadian habitual IOP rhythm.

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 眼科学
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出版当年[2014]版:
Q2 OPHTHALMOLOGY
最新[2023]版:
Q2 OPHTHALMOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [3]Beijing Eye Inst, Beijing, Peoples R China [4]Capital Med Univ, Beijing, Peoples R China [*1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University. No. 1 Dongjiaominxiang Street, Dongcheng District, Beijing 100730, China
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通讯机构: [1]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [3]Beijing Eye Inst, Beijing, Peoples R China [4]Capital Med Univ, Beijing, Peoples R China [*1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University. No. 1 Dongjiaominxiang Street, Dongcheng District, Beijing 100730, China
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