Water-drinking test in primary angle-closure suspect before and after laser peripheral iridotomy.
BACKGROUND
This study aimed to investigate whether performing a laser peripheral iridotomy in primary angle-closure suspects had an effect on the intraocular pressure response during the water-drinking test.


METHODS
Prospective study in a hospital setting.


METHODS
Primary angle-closure suspects scheduled for a laser peripheral iridotomy.


METHODS
Primary angle-closure suspects were evaluated before the laser peripheral iridotomy and 2 weeks after. On each visit, subjects underwent the water-drinking test. Intraocular pressure was measured every 15 min within a 1-h period.


METHODS
Intraocular pressure fluctuations during the water drinking test.


RESULTS
Twenty patients were enrolled. The mean age was 58.1 years (±10.2 SD), predominantly female (n = 14, 70%). Average intraocular pressure range (maximum-minimum) during the water-drinking test increased significantly from 2.6 ± 1.1 mmHg before the laser peripheral iridotomy to 3.5 ± 1.5 mmHg after (P = 0.04). The mean difference between peak and last intraocular pressure measurements increased after the laser peripheral iridotomy was performed, from 2.5 mmHg (±1.27 SD) to 3.3 mmHg (±1.66 SD), (P = 0.057). There was no change in mean peak intraocular pressure (maximum-baseline) before and after the laser peripheral iridotomy (P = 0.87).


CONCLUSIONS
Primary angle-closure suspects who underwent the water-drinking test had a slightly more pronounced recovery of intraocular pressure after the laser peripheral iridotomy was performed, which may be attributed to increase in the area of exposed trabecular meshwork following treatment. Differences in intraocular pressure curves before and after laser peripheral iridotomy were minimal, and therefore, the water-drinking test had limited value as a provocative test in this patient population.
Wills Eye Hospital Glaucoma Research Center, Philadelphia, Pennsylvania, USA.
Michael
M
Waisbourd
Wills Eye Hospital Glaucoma Research Center, Philadelphia, Pennsylvania, USA.
Shravan V
SV
Savant
Wills Eye Hospital Glaucoma Research Center, Philadelphia, Pennsylvania, USA.
Yi
Y
Sun
Wills Eye Hospital Glaucoma Research Center, Philadelphia, Pennsylvania, USA.
Patricia
P
Martinez
Wills Eye Hospital Glaucoma Research Center, Philadelphia, Pennsylvania, USA.
Jonathan S
JS
Myers
D000368:Aged; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D032801:Iridectomy; D007498:Iris / Q000601:surgery*; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D013312:Stress, Physiological; D014065:Tonometry, Ocular; D014867:Water / Q000008:administration & dosage*
D014867:Water
angle closure; glaucoma; laser surgery