Rauschfeldbefunde bei 24 Patienten mit koronarer Herzkrankheit1

Erb, Carl; Hettesheimer, H.; Stübiger, Nicole; Voelker, Wolfram

doi:10.1055/s-2000-10367

Cited by 6 publications

(3 citation statements)

References 1 publication

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“…Critical undersupply of nutrients and oxygen to retinal cells may lead to functional disturbances measurable with perimetry. This effect has been described previously in patients with coronary heart disease and RA patients showing significant differences in perimetric outcomes when compared with healthy subjects 10,11 . Furthermore, impairment of colour vision in patients with arterial hypertension may be due to the same mechanisms 12 .…”

Section: Introductionsupporting

confidence: 72%

“…This effect has been described previously in patients with coronary heart disease and RA patients showing significant differences in perimetric outcomes when compared with healthy subjects. 10,11 Furthermore, impairment of colour vision in patients with arterial hypertension may be due to the same mechanisms. 12 In patients with both RA and aHT, we can expect severe vascular damage.…”

Section: Introductionmentioning

confidence: 99%

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Influence of ACPA‐positive rheumatoid arthritis on visual field testing in patients with arterial hypertension: A comparative cross‐sectional study

Wendelstein

Fuchs

Schlittgen

et al. 2021

Ophthalmic Physiologic Optic

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Purpose: To evaluate a possible influence of anti-cyclic citrullinated peptide autoantibodies (ACPA) -positive rheumatoid arthritis (RA) on visual field (VF) testing in patients with arterial hypertension (aHT). Methods: We conducted an observational cross-sectional study comparing patients with ACPA-positive RA and aHT, patients with aHT and healthy subjects. Further inclusion criteria were visual acuity (VA) of 0.8 or better and age between 40 and 60 years. VF testing was performed with standard automated achromatic perimetry (SAP), short wavelength automated perimetry (SWAP) (Octopus 300 \reg ) and flicker perimetry (Pulsar \reg ). Results were analysed for a possible correlation with blood pressure or RA-activity. Results: Twenty subjects with RA and aHT, 26 patients with aHT and 22 healthy participants were examined. Significant differences were found for mean sensitivity (MS) in SWAP comparing RA-patients with healthy participants (DMS À3.06, p = 0.001) and with hypertensive patients (DMS À2.32, p = 0.007). In SAP we observed a significant difference between patients with RA and healthy subjects regarding loss variance (LV) (DLV = +9.77, p = 0.004). Flicker perimetry did not demonstrate significant differences between groups. A correlation of VF changes with blood pressure level or RA-activity was not observed. Conclusion: Patients with ACPA-positive RA and aHT showed significant impairment of VF performance in SWAP compared to patients with aHT alone and healthy subjects. SAP also revealed a significant difference of LV between RApatients and healthy subjects. aHT does not seem to induce functional changes in VF testing alone.

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Section: Introductionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Influence of ACPA‐positive rheumatoid arthritis on visual field testing in patients with arterial hypertension: A comparative cross‐sectional study

Wendelstein

Fuchs

Schlittgen

et al. 2021

Ophthalmic Physiologic Optic

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“…Dennoch ist denkbar, dass im Rahmen der Gefäßwandverdickung der Sauerstoffund Nährstoffaustausch erheblich beeinträchtigt wird. Beispielsweise kommt es im Rahmen einer koronaren Herzerkrankung als Stellvertreter für arteriosklerotische Erkrankungen zu erworbenen Farbsinnstörungen [111] und zu Auffälligkeiten in der Rauschfeld-Kampimetrie [112]. Dies zeigt, dass neben den anfänglich funktionellen Störungen später auch die strukturellen Umbauprozesse in der Mikrozirkulation zu metabolischen Störungen mit Ischämie und Reperfusionschäden führen [113,114].…”

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Die Bedeutung der arteriellen Hypertonie für das primäre Offenwinkelglaukom

Erb¹,

Predel

2014

Klin Monatsbl Augenheilkd

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Primary open-angle glaucoma is a multifactorial disease with a lot of different risk factors. Beside the fact that intraocular pressure (IOP) is the most important risk factor, the reduction of IOP alone is in most cases not sufficient to stop the progression of glaucoma. Therefore, other risk factors play also an important role. One of them is arterial hypertension, the most common systemic disease in glaucoma patients. Arterial hypertension increases IOP slightly, but has an important negative effect on ocular perfusion. Especially the endothelial dysfunction with a disturbed retinal autoregulation plays an important role. Therefore, ischaemic and reperfusion effects alter the optic nerve head and have negative input to the glaucomatous optic neuropathy. In future glaucoma patients should be monitored by ophthalmologists as well as by general physicians/cardiologists to optimise their treatment and to stabilise their glaucoma as well as possible.

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Bedeutung der Flimmer-Kontrasttests in der funktionellen Glaukomdiagnostik

Göbel

Poloschek²,

C³

et al. 2012

Ophthalmologe

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One of the many unsolved problems concerning glaucoma is early detection and many different methodologies have been developed. This article concentrates on methodologies belonging to the class of flicker contrast tests which present dynamic stimuli (with temporal frequencies generally above 10 Hz) and assess the perceptual thresholds for contrast, be it global or locally resolved. The tests include global flicker sensitivity, flicker perimetry (current embodiment: Pulsar), Rauschfeld campimetry, frequency doubling perimetry and flicker-defined edge perimetry. These different approaches are placed into historical perspective and are critically assessed.

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Rauschfeldbefunde bei 24 Patienten mit koronarer Herzkrankheit1

Cited by 6 publications

References 1 publication

Influence of ACPA‐positive rheumatoid arthritis on visual field testing in patients with arterial hypertension: A comparative cross‐sectional study

Influence of ACPA‐positive rheumatoid arthritis on visual field testing in patients with arterial hypertension: A comparative cross‐sectional study

Die Bedeutung der arteriellen Hypertonie für das primäre Offenwinkelglaukom

Bedeutung der Flimmer-Kontrasttests in der funktionellen Glaukomdiagnostik

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