Serum and Aqueous Humor Levels of Brain-Derived Neurotrophic factor in Patients with Primary Open-Angle Glaucoma and Normal Tension Glaucoma

2021 ◽  
Author(s):  
Yu Wan Cha ◽  
Seong Taeck Kim
Keyword(s):  
Aqueous Humor ◽  
Neurotrophic Factor ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Brain Derived Neurotrophic Factor ◽  
Normal Tension Glaucoma ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Open Angle ◽  
Serum Bdnf

Abstract PurposeThis study designed to compare the levels of brain-derived neurotrophic factor (BDNF) in the serum and aqueous humor (AH) of patients with primary open-angle glaucoma (POAG) and normal-tension glaucoma (NTG).MethodsThis prospective, observational study consists of 30 patients with POAG, 30 patients with NTG, and 30 healthy controls. The serum and AH BDNF levels were assessed using an enzyme-linked immunosorbent assay.ResultsBDNF levels in serum and AH were markedly lower in the glaucoma groups (POAG and NTG) than in the control group (p < 0.05). When comparing the NTG and POAG groups, the average serum BDNF level was significantly lower in the NTG group than in the POAG group (p < 0.05). The difference in the mean BDNF levels in AH between the POAG and NTG groups was not statistically significant. (p = 0.538).ConclusionWe confirmed that serum BDNF levels were lower in patients with NTG than in those with POAG. BDNF could be a causative systemic biomarker in NTG.

Brain-Derived Neurotrophic Factor as a Biomarker in Primary Open-Angle Glaucoma

2011 ◽  
Vol 88 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Alireza Ghaffariyeh ◽  
Nazafarin Honarpisheh ◽  
Mohammad Hossein Heidari ◽  
Sadollah Puyan ◽  
Fuad Abasov
Keyword(s):  
Neurotrophic Factor ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Brain Derived Neurotrophic Factor ◽  
Open Angle

scholarly journals Progressive spectacle correction in patients with ametropia and primary open-angle glaucoma

The Eye ◽  
2019 ◽  
Vol 125 (2019-1) ◽  
pp. 6-12
Author(s):  
Irina Gndoyan ◽  
Natalya Kuznetsova ◽  
Alexander Derevyanchenko
Keyword(s):  
Intraocular Pressure ◽  
Aqueous Humor ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Main Group ◽  
Control Group ◽  
Open Angle ◽  
Aqueous Humor Outflow ◽  
Vision Correction ◽  
Spectacle Correction

Purpose: To determine the role that progressive spectacle lenses play in intraocular pressure compensation and stabilization of the glaucomatous process in patients with primary open-angle glaucoma (POAG) combined with presbyopia and refractive errors. Material and methods. 29 patients (53 eyes) aged 43 to 67 years with I-II stage POAG and a certain type of refractive error were enrolled into study. All patients had intraocular pressure (IOP) compensated to the target level on medication. Patients of the main group (17 people, 32 eyes) used universal progressive spectacle lenses with optimized surface. The patients of the control group (12 people, 21 eyes) used separate monofocal glasses for near and distance vision as a method of ametropia correction. Visual acuity test, refractometry, pneumotonometry, tonography, automated static perimetry were applied for monitoring the patients. The measurements were taken before spectacle correction and a year after its prescription. Results. A decrease of IOP (p=0.01) and an increase of the aqueous humor outflow coefficient (p<0.01) were determined after one year use of the recommended type of vision correction in the main group, whereas in the control group there was an increased level of IOP (p<0.05) and a reduced aqueous humor outflow coefficient (p<0.2). Conclusion. The use of progressive spectacle lenses as a method of permanent vision correction reliably reduces IOP and improves the aqueous humor outflow in patients with early-stage POAG. The absence of negative visual field dynamics indicates the stabilization of the glaucomatous process.

scholarly journals PROGNOSIS OF POSTOPERATIVE PROGRESSION OF GLAUCOMA OPTIC NEUROPATHY AT PRIMARY OPEN-ANGLE GLAUCOMA

2020 ◽  
pp. 60-68
Author(s):  
Anton Serdiuk
Keyword(s):  
Regression Analysis ◽  
Optic Neuropathy ◽  
Fas Ligand ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Soluble Form ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Ophthalmological Examination ◽  
Open Angle

Search for new informative markers and methods of prognosis prediction glaucomatous optic neuropathy (GON) in primary open-angle glaucoma (POAG) is an urgent task. We have established efficiency surgical treatment of POAG, but the progression of GON is observed in 10–15 % patients. It is known that the main mechanism of GON is apoptotic death retinal ganglion cells, a marker of which is recognized as tumour necrosis factor-α (TNFα), Fas-ligand (FasL) and a soluble form of the Fas-receptor (sFas/APO-1). The aim of the study: to find out the possibility of using apoptosis factors (TNFα, FasL and sFas/APO-1) to predict postoperative progression of GON at POAG. Methods. 69 patients (69 eyes) with POAG stage I–III were examined, who underwent trabeculectomy with implantation of an Ex-Press shunt. In intraocular fluid (IOF) markers of apoptosis was determined by the method enzyme-linked immunosorbent assay. Repeated ophthalmological examination was performed in 1 year. The control group consisted of 25 patients who were operated on about phacoemulsification of cataracts. For statistical and regression analysis used software package GLZ (Statistica 10, StatSoft, Inc. USA) and module of analysis of operational characteristics of regression models – ROC-diagrams (MedCalc 18.9.1, MedCalc Software, Belgium). Results. Multivariate regression analysis showed that the progression of GON determine the content in IOF of TNFα and sFas/Apo-1 before surgery and intraocular pressure after three months. Based on these indicators, it is calculated satisfactory model of GON progression prediction with 95.4 % accuracy. One-factor logistic regression analysis proved the influence of the content of TNFα, FasL and sFas/Apo-1 for the presence or absence of progression of GON during the year after operations: direct dependence took place for TNFα and FasL and inverse – for sFas/Apo-1. The critical limits of the content in the IOF markers are calculated apoptosis, in which the progression of GON is unmistakably predicted during year after surgery. Conclusions. The obtained results prove the significant influence of the studied markers apoptosis on the progression of GON after surgery. Direct pathogenetic influence belongs to TNFα and FasL.

scholarly journals Effect of Posture in Intraocular Pressure, Comparison between Normal and Glaucomatous Subjects

2013 ◽  
Vol 11 (2) ◽  
pp. 21-23
Author(s):  
Ram Shrestha ◽  
Sagarika Patyal ◽  
Ramesh Bista ◽  
Sagar Rajkarnikar ◽  
Anu Gurung
Keyword(s):  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Armed Forces ◽  
Normal Tension Glaucoma ◽  
Cross Sectional Study ◽  
Control Group ◽  
Open Angle ◽  
Cross Sectional ◽  
Postural Changes

Introduction: Intraocular pressure (IOP) increases when changing from sitting to supine position with an average difference of 0.3 to 6.0mm of Hg. These postural changes of IOP have been found in normal persons, patients with ocular hypertension and normal tension glaucoma. The eye is relatively non-distensible, even small changes in the volume of aqueous humor may significantly change IOP. The increase in resistance in aqueous flow is thought to be the reason for higher IOP in supine compared to sitting position. The aim of this study was to analyze the effects of posture in intraocular pressure in normal and primary open angle glaucoma subjects. Methods: It was a prospective cross sectional study done in Armed Forces Medical College, Pune, between May, 2007 to May, 2009 with sample sized of 60 people (30 controls and 30 Primary open angle glaucoma). Patients underwent complete ocular examination. Two drops of Topical 4% lignocaine were instilled. IOP measurements were taken by Rebound tonometer in sitting and supine positions at 10 min and 30 min interval respectively. Results: Control group (40-76 yrs) and POAG group (40-78 yrs) were found to have a mean rise of IOP of 1.65 and 2 mm of Hg respectively from sitting to lying for 10min, and  a mean rise of 2.52 and 5.36 mm of Hg respectively from sitting to lying for 30min. Conclusions: The rise in IOP due to change of posture from sitting to supine positions was significantly higher in glaucomatous patients.Medical Journal of Shree Birendra Hospital; July-December 2012/vol.11/Issue2/21-23 DOI: http://dx.doi.org/10.3126/mjsbh.v11i2.7904 

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