FREQUENCY OF RAISED BLOOD PRESSURE / RAISED MEAN ARTERIAL PRESSURE ABNORMALITIES IN PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA
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Abstract
ABSTRACT
Objectives
To find out the frequency of impaired blood pressure and mean arterial pressure in our patients presenting with primary open angle glaucoma.
Material and Methods
This prospective cohort study was conducted in Khyber Teaching Hospital Peshawar from July 2020 to December 2020. All patients having primary open angle glaucoma, were included. Those having high blood pressure (BP) on admission or history of high blood pressure or using anti-hypertensive drugs, were admitted to the ophthalmology ward of Khyber Teaching Hospital. Blood Pressure/ Mean Arterial Pressure and Intra ocular pressure (IOP) phasing were done. Mean Arterial Pressure, MOPP and peak IOP were determined. Patients having secondary types of glaucoma, primary angle closure glaucoma and those patients who declined concent were excluded. Data was collected on a already prepared standard proforma and analysed by spss 23.
Results
A total of 375 patients were diagnosed to have Primary open angle glaucoma (POAG), out of which 200 (65%) patients had impaired blood pressure, so rest of 70 (35%) patients had Normal Tension Glaucoma (NTG). Out of 200 cases with primary open angle glaucoma, 175 patients (87.5%) had hypertension, while 25 patients (12.5%) had low blood pressure. Amongst the hypertensive patients, the mean arterial pressure (MAP) was raised in 70(35%) patients, while the Mean Occular Perfussion Pressure (MOPP) was raised in 15 patients ie 7.5% .
Conclusion
Sixty five percent of our patients with primary open angle glaucoma had impaired blood presure, out of which 87.5% of patients had high blood pressure and the rest had low blood pressure.
Keywords
Primary open angle glaucoma (POAG), impaired blood pressure, impaired mean arterial pressure.
Article Details
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