A comparative analysis of the postural and diurnal ocular perfusion pressure of young healthy individuals of different ethnicities

African Vision and Eye Health

 
 
Field Value
 
Title A comparative analysis of the postural and diurnal ocular perfusion pressure of young healthy individuals of different ethnicities
 
Creator Munsamy, Alvin J. Gopaul, Kelisha Perumaul, Kimesha Moosa, Muhammad M. Bidla, Luvuyo Shaetonhodi, Twapewa L. Vilakazi, Bongeka
 
Subject OPTOMETRY Ocular perfusion pressure; postural; diurnal; glaucoma; intra-ocular pressure; blood pressure
Description Purpose: Ocular perfusion pressure (OPP) regulates the flow of blood to the optic nerve and is determined by the interaction between intraocular pressure (IOP) and blood pressure (BP). Low OPP increases the incidence of primary open-angle glaucoma (POAG). The aim is to compare the diurnal (i.e. morning vs. afternoon) and postural (i.e. seated vs. supine) OPP in healthy individuals from different ethnicities aged between 18 and 30 years.Methodology: Averaged IOP and BP measurements were obtained with an ICare rebound tonometer and an automated sphygmomanometer, respectively. Measurements were taken in the morning and afternoon, in the supine and seated positions in healthy young adults: Africans (n = 10), white people (n = 10), mixed-race people (n = 10) and Indians (n = 10).Results: The whole sample (N = 40) displayed a statistically significant reduction in postural and diurnal OPP both in the supine position and in the morning, respectively. A comparative analysis revealed that Africans displayed statistically significant reduction in OPP when compared to other ethnicities.Discussion: A change in posture to the supine position has a greater impact on the reduction of OPP when compared to diurnal changes. Africans displayed clinically significant reduction in OPP which may increase the incidence of POAG in this ethnicity at an early age.Conclusion: Our findings question whether OPP should be considered as a biomarker in the dark-skinned individuals. An evaluation of BP and IOP in the supine position is recommended for all patients to obtain more conclusive readings.
 
Publisher AOSIS
 
Contributor
Date 2018-06-14
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — QUANTITATIVE; CROSS-SECTIONAL;DESCRIPTIVE
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/aveh.v77i1.427
 
Source African Vision and Eye Health; Vol 77, No 1 (2018); 8 pages 2410-1516 2413-3183
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://avehjournal.org/index.php/aveh/article/view/427/838 https://avehjournal.org/index.php/aveh/article/view/427/837 https://avehjournal.org/index.php/aveh/article/view/427/839 https://avehjournal.org/index.php/aveh/article/view/427/833
 
Coverage SOUTH AFRICA 2016 18-30YEARS; MALES AND FEMALES;AFRICANS/WHITES/COLOUREDS/INDIANS
Rights Copyright (c) 2018 Alvin J. Munsamy, Kelisha Gopaul, Kimesha Perumaul, Muhammad M. Moosa, Luvuyo Bidla, Twapewa L. Shaetonhodi, Bongeka Vilakazi https://creativecommons.org/licenses/by/4.0
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