Cerebrospinal fluid pressure is decreased in primary open-angle glaucoma

Cerebrospinal fluid pressure is decreased in primary open-angle glaucoma
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DOI:
10.1016/j.ophtha.2008.01.013
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发表时间:
2008-05-01
期刊:
影响因子:
13.7
通讯作者:
Johnson, Douglas H.
Johnson, Douglas H.
中科院分区:
医学1区
文献类型:
--
作者:
Berdahl, John P.;Allingham, R. Rand;Johnson, Douglas H.

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目的:目的:比较原发性开角型青光眼(POAG)患者与非青光眼患者的脑脊液(CSF)压力。设计:病例对照研究。参与者:1996年至2007年在明尼苏达州罗切斯特的马约诊所接受腰椎穿刺(LP)的31786例受试者。方法:回顾性分析28例原发性开角型青光眼患者和49例非原发性开角型青光眼患者的临床资料。通过单因素和多因素分析比较两组和与CSF压力相关的因素。主要结果指标:人口统计学(年龄和性别)、病史、药物使用、LP适应症、眼内压(IOP)、视盘杯盘比、视野评估和CSF压力。非青光眼组平均CSF压±标准差为13.0 ± 4.2 mmHg,POAG组为9.2 ± 2.9 mmHg(P
Purpose: To compare cerebrospinal fluid (CSF) pressure in patients with primary open-angle glaucoma (POAG) with that in nonglaucomatous patients.Design: Case-control study.Participants: Thirty-one thousand, seven hundred and eighty-six subjects underwent lumbar puncture (LP) between 1996 and 2007 at the Mayo Clinic, Rochester, Minnesota. Of these, 28 patients who had POAG and 49 patients who did not have POAG were analyzed.Methods: Retrospective review of medical records. Comparison of the 2 groups and factors associated with CSF pressure were analyzed by univariate and multivariate analyses.Main Outcome Measures: Demographics (age and gender), medical history, medication use, indication for LP, intraocular pressure (IOP), optic disc cup-to-disc ratio, visual field assessment, and CSF pressure.Results: The mean CSF pressure +/- standard deviation was 13.0 +/- 4.2 mmHg in nonglaucoma patients and 9.2 +/- 2.9 mmHg in POAG patients (P