{"id":4462,"date":"2016-11-25T18:26:09","date_gmt":"2016-11-25T18:26:09","guid":{"rendered":"https:\/\/sbglaucoma2.websiteseguro.com\/medico\/?p=4462"},"modified":"2019-06-11T12:28:53","modified_gmt":"2019-06-11T15:28:53","slug":"visual-field-change-and-24-hour-iop-related-profile","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/visual-field-change-and-24-hour-iop-related-profile\/","title":{"rendered":"Visual Field Change and 24-Hour IOP-Related Profile"},"content":{"rendered":"

Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients.<\/h3>\n
\n
\n

\"\"Dr. Andr\u00e9 Ven\u00e2ncio<\/strong>
\nEspecialista em Glaucoma pela Universidade Estadual de Campinas (UNICAMP); Preceptor da Resid\u00eancia M\u00e9dica em Oftalmologia do Hospital Universit\u00e1rio da Universidade Federal de Juiz de Fora (UFJF)<\/span><\/p>\n<\/div>\n

Dr. Ricardo A. Paletta Guedes<\/strong>
\nDoutor em Sa\u00fade (UFJF); Mestre em Sa\u00fade P\u00fablica (UFJF); Especialista em Glaucoma (Universidade de Paris).
\n<\/span><\/div>\n<\/div>\n

Ref.: Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients. <\/strong>
\nAutores: Carlos Gustavo De Moraes, MD, MPH, Jessica V. Jasien, MEn, Sonja Simon-Zoula, PhD, Jeffrey M. Liebmann, MD, Robert Ritch, MD<\/p>\n

Publicado no peri\u00f3dico: Ophthalmology. 2016; 123(4):744-53.<\/p>\n

 <\/p>\n

Uma \u00fanica medida isolada n\u00e3o mostra a varia\u00e7\u00e3o di\u00e1ria da press\u00e3o intraocular (PIO) nos pacientes portadores de glaucoma. Mais de 70% dos picos press\u00f3ricos ocorrem durante a noite ou logo pela manh\u00e3 – per\u00edodos que normalmente n\u00e3o s\u00e3o avaliados rotineiramente nos consult\u00f3rios. A medida de 24h da PIO \u00e9 importante para monitoriza\u00e7\u00e3o do tratamento de pacientes glaucomatosos, podendo teoricamente indicar descontrole da doen\u00e7a antes de progress\u00e3o estrutural ou funcional. Contudo, \u00e9 cara e impratic\u00e1vel de forma rotineira nos consult\u00f3rios.<\/p>\n

Um sistema que utiliza uma lente de contato gelatinosa associada a sensores sem fio (CLS – Sensimed Triggerfish; Sensimed AG, Lausanne, Switzerland) foi desenvolvida para fazer capturas das mudan\u00e7as circunferenciais do globo ocular que ocorrem espontaneamente ap\u00f3s altera\u00e7\u00f5es do volume do globo. Existe evid\u00eancia que esta medida apresenta boa correla\u00e7\u00e3o com a medida da PIO. Liu et al mostrou que h\u00e1 correla\u00e7\u00e3o estat\u00edstica entre a avalia\u00e7\u00e3o dos picos na medida de 24h com a lente de contato e os picos da PIO obtidos com pneumoton\u00f4metro.<\/p>\n

Os autores deste trabalho realizaram o primeiro estudo cl\u00ednico tentando correlacionar as medidas obtidas com a lente de contato e a taxa de progress\u00e3o do campo visual (CV).<\/strong><\/p>\n

O presente estudo incluiu 40 indiv\u00edduos com glaucoma prim\u00e1rio de \u00e2ngulo aberto (GPAA) em tratamento e em acompanhamento por no m\u00ednimo 2 anos (com no m\u00ednimo 8 exames de perimetria), com idade variando entre 40 e 89 anos, e cujas medidas da PIO no per\u00edodo avaliado eram menores de 20mmHg ou tinham m\u00e9dia igual ou menor que 16mmHg. O objetivo principal era avaliar se os par\u00e2metros obtidos com a lente de contato (n\u00famero de picos largos, m\u00e9dia de picos m\u00e9dios, inclina\u00e7\u00e3o wake-to-sleep, amplitude, \u00e1rea sob a curva e a variabilidade da m\u00e9dia) estariam relacionados com mudan\u00e7a do Mean Deviation (MD) do CV.<\/p>\n

Os autores encontraram que o n\u00famero de picos longos e a m\u00e9dia de picos obtidos com a lente de contato, quando os pacientes estavam acordados, eram os melhores preditores de progress\u00e3o r\u00e1pida do CV.<\/p>\n

O uso de uma combina\u00e7\u00e3o de par\u00e2metros obtidos pela medida em 24h com a lente de contato apresentou uma melhor capacidade de identificar uma progress\u00e3o do CV quando comparada com os par\u00e2metros de PIO medidas pelo Goldmann (m\u00e9dia, pico e flutua\u00e7\u00e3o) no mesmo per\u00edodo. No modelo estat\u00edstico para avaliar a correla\u00e7\u00e3o entre os par\u00e2metros da Lente de contato ou das medidas da PIO (ton\u00f4metro de Goldmann) com a taxa de progress\u00e3o mostra que o valor do R2 foi de 0,409 para a lente de contato e de 0,168 para o ton\u00f4metro de Goldmann, mostrando que a performance da lente de contato foi superior. <\/strong><\/p>\n


\nOs autores concluem que apesar de o sistema de lente de contato n\u00e3o medir diretamente a PIO, as medidas obtidas com esta nova tecnologia, al\u00e9m de se correlacionarem bem com a pr\u00f3pria medida da PIO, podem ser capazes de identificar pacientes com progress\u00e3o funcional no CV. <\/span><\/p>\n

Os autores concluem que apesar de o sistema de lente de contato n\u00e3o medir diretamente a PIO, as medidas obtidas com esta nova tecnologia, al\u00e9m de se correlacionarem bem com a pr\u00f3pria medida da PIO, podem ser capazes de identificar pacientes com progress\u00e3o funcional no CV.<\/p>\n","protected":false},"excerpt":{"rendered":"

Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients. Dr. Andr\u00e9 Ven\u00e2ncio Especialista em Glaucoma pela Universidade Estadual de Campinas (UNICAMP); Preceptor da Resid\u00eancia M\u00e9dica em Oftalmologia do Hospital Universit\u00e1rio da Universidade Federal de Juiz de Fora (UFJF) Dr. Ricardo A. Paletta Guedes Doutor em Sa\u00fade (UFJF); Mestre […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4462","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"\nVisual Field Change and 24-Hour IOP-Related Profile - SBG - Sociedade Brasileira de Glaucoma<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sbglaucoma.org.br\/medico\/visual-field-change-and-24-hour-iop-related-profile\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Visual Field Change and 24-Hour IOP-Related Profile - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Visual Field Change and 24-Hour IOP-Related Profile with a Contact Lens Sensor in Treated Glaucoma Patients. 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