Abstract
Purpose :
To examine the relationship between intraocular pressure (IOP) and retinal oxygen saturation in open angle glaucoma (OAG) patients of African (AD) and European descent (ED).
Methods :
31 patients with OAG (13 AD, 18 ED) were assessed in a cross-sectional analysis for IOP via Goldmann applanation tonometry and retinal oxygenation via retinal photographic oximetry (Oxymap Retinal Oximeter; Oxymap ehf, Reykjavik, Iceland). Age-adjusted two-sample t-tests and Spearman correlations were used to test for differences and associations between measurements, with p<0.05 considered statistically significant.
Results :
OAG patients of AD and ED demonstrated significantly different relationships between IOP and retinal venous oxygen biomarkers, despite statistically similar IOP (p=0.418) and visual field outcomes (mean deviation, pattern standard deviation, and visual field index, all p>0.05). Strong negative correlations were found between IOP and oxygenation biomarkers in OAG patients of ED, while these correlations were weaker and/or positive in AD patients (p=0.008-0.038; e.g., IOP vs. oxygen saturation (SatO2) in the inferior nasal vein ED r=-0.99, AD r=-0.19, p=0.008). IOP was also strongly and positively correlated with the infero-nasal arterio-venous difference in OAG patients of ED, while the correlation was weak and negative in AD patients (ED r=0.97, AD r=-0.13, p=0.021). Although OAG patients of AD had higher ocular perfusion pressures (OPP), compared to those of ED (p=0.021); OPP was not found to be significantly different in its relationships with ONH oxygen biomarkers (p<0.05) between groups.
Conclusions :
In this cohort of patients, the relationship between IOP and retinal oxygen saturation were significantly different between OAG patients of AD and ED. Our results suggest that despite statistically similar IOP, the impact of IOP on retinal metabolism may be different in persons of AD, especially within the venous circulation.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.