Evidence map›Paper›PMID 30218499›Full record

ArticleActa ophthalmologica2019

Optic nerve head blood flow regulation during changes in arterial blood pressure in patients with primary open-angle glaucoma.

Ahmed M Bata, Klemens Fondi, Katarzyna J Witkowska, René M Werkmeister, Anton Hommer, Clemens Vass, Hemma Resch, Doreen Schmidl, Alina Popa-Cherecheanu, Jacqueline Chua and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Therapeutic Potential of Cannabinoids in Glaucoma.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Optic disc blood perfusion and oxygenation in glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  9. Article
  10. Review
  11. Article
  12. Article
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  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 4 countries.

Ahmed M BataDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-5228-762X
Klemens FondiDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Katarzyna J WitkowskaDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
René M WerkmeisterCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-5147-5714
Anton HommerDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Clemens VassDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-4756-9088
Hemma ReschDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Doreen SchmidlDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Alina Popa-CherecheanuDepartment of Ophthalmology, Emergency University Hospital, Bucharest, Romania.
Jacqueline ChuaSingapore Eye Research Institute, Singapore, Singapore.
Gerhard GarhöferDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Leopold SchmettererDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATCarol Davila University of Medicine and Pharmacy · RONanyang Technological University · SGRHI Magnesita (Austria) · ATSingapore Eye Research Institute · SG

Funding

Austrian Science Fund KLIF 340
6 · The paper itself

Abstract

purposeAbnormal autoregulation of optic nerve head blood flow (ONHBF) has been postulated to play an important role in primary open-angle glaucoma (POAG). We used laser Doppler flowmetry (LDF) to estimate quantitatively the ONHBF and compared ONHBF autoregulation between glaucoma patients and healthy controls during isometric exercise.

methodsForty patients with POAG and 40 healthy age- and sex-matched subjects underwent three periods of isometric exercise, each consisting of 2 min of handgripping. Optic nerve head blood flow (ONHBF) was measured continuously using LDF. Systemic blood pressure, intraocular pressure and ocular perfusion pressure were assessed in all participants.

resultsIsometric exercise was associated with an increase in ocular perfusion pressure during all handgripping periods in both groups (p < 0.001). However, there was no change in ONHBF in either group. Three of the glaucoma patients and two of the healthy subjects showed a consistent 10% decrease in blood flow during isometric exercise, in spite of an increase in their blood pressure. This difference between groups was not significant (p = 0.61). Four other glaucoma subjects showed a consistent increase in blood flow of more than 10% during isometric exercise, whereas this was not seen in healthy subjects (p = 0.035).

conclusionThis study suggests that abnormal ONHBF autoregulation is more often seen in patients with POAG than healthy control subjects. The relationship to the glaucoma disease process is currently unknown and requires further investigation.

Indexed as

Blood Flow VelocityBlood PressureChoroidExerciseFemaleGlaucoma, Open-AngleHumansIntraocular PressureLaser-Doppler FlowmetryMaleMiddle AgedOptic DiskRegional Blood FlowTonometry, Ocularglaucomalaser doppler flowmeterylaser Doppler flowmetryoptic nerve head autoregulationoptic nerve head blood flow

Identifiers

PMID30218499
PMCPMC6492118
OpenAlexW2890194671

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.