Water drinking test: new applications

Clement, Colin I; Goldberg, Ivan

doi:10.1111/ceo.12718

Cited by 12 publications

(13 citation statements)

References 9 publications

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“…It has been postulated that a more rapid return to baseline IOP following the WDT may reflect improved outflow facility . Independent of the mechanism that increases IOP following the WDT, an intact and active outflow facility should be associated with rapid IOP recovery, whereas impaired outflow facility is more likely to lead to sustained IOP elevations.…”

Section: Interpreting Resultsmentioning

confidence: 99%

“…The WDT has been the subject of multiple editorials in peer-reviewed journals since 2008. [23][24][25][26][27] In an editorial about publication and citation in ophthalmology, the authors stated that the WDT had experienced a major and recent revival based on the fact that the 32 articles that included this test have been cited on average 10.26 times, which is a mean citation count above the normal and expected mean. 23…”

Section: Introductionmentioning

confidence: 99%

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Applications of the water drinking test in glaucoma management

Susanna

Clement

Goldberg

et al. 2017

Clinical Exper Ophthalmology

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Intraocular pressure (IOP) peaks and means have been considered important factors for glaucoma onset and progression. However, peak IOP detection depends only on appropriated IOP checks at office visits, whereas the mean IOP requires longitudinal IOP data collection and may be affected by the interval between visits. Also, IOP peak assessment is necessary to verify if the peak pressure of a given patient is in target range, to evaluate glaucoma suspect risk, the efficacy of hypotensive drugs and to detect early loss of IOP control. The water-drinking test has gained significant attention in recent years as an important tool to evaluate IOP peaks and instability. The main objective of this review was to present new findings and to discuss the applicability of the water-drinking test in glaucoma management.

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Section: Interpreting Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Applications of the water drinking test in glaucoma management

Susanna

Clement

Goldberg

et al. 2017

Clinical Exper Ophthalmology

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“…First, the present results are of special interest for the management of different ocular conditions; however, our experimental sample was formed by young, healthy individuals. The inclusion of glaucoma patients, who demonstrably have an altered autoregulatory control of the ocular hemodynamics and aqueous humor dynamics and suffer higher IOP fluctuations to a variety of stress tests, 6 is warranted in future studies. Of note, De Moraes et al 10 recently showed that even these transient IOP spikes during the day (when measured with a contact lens sensor) have a detrimental effect on the visual fields of glaucoma patients.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Immediate and Cumulative Effects of Isometric Squat Exercise for Different Weight Loads on Intraocular Pressure: A Pilot Study

Vera

Jiménez

Redondo

et al. 2019

Sports Health: A Multidisciplinary Approach

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Background: The execution of resistance exercise against heavy loads promotes an acute intraocular pressure (IOP) rise, which has detrimental effects on ocular health. However, the effect of load on the IOP behavior during exercise remains unknown due to technical limitations. Hypotheses: IOP monitoring during isometric squat exercise permits assessment of IOP behavior during physical effort. Second, greater loads will induce a higher IOP rise.

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“…[ 6 ] It has regained interest amongst researchers and clinicians in recent days and has been proposed as a surrogate for determining outflow facility and also the likelihood of progression in patients with apparently well-controlled IOP. [ 7 8 9 ]…”

mentioning

confidence: 99%

Comparison of intraocular pressure variability detected by day diurnal variation to that evoked by water drinking

Kadambi

Balekudaru

Vijaya

et al. 2021

Indian Journal of Ophthalmology

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Purpose: To determine correlation and agreement between intraocular pressure (IOP) peak and fluctuations detected by day diurnal variation (day DVT) to that after the water-drinking test (WDT). Methods: Patients (18–80 years) with glaucoma, suspects, and ocular hypertension (OHT) were enrolled. IOP readings were taken on applanation tonometer, at 2-h intervals, from 8 AM to 3 PM (DVT). 3 PM IOP served as WDT baseline. Patients consumed water (10 mL/kg) in 5–15 min, at 3 PM, after they fluid fasted for 2 h. IOP was recorded every 15 min, from 3.30 to 4.30 PM. Results: A total of 200 eyes (100 patients) were included. 58.5% were established glaucoma, 32% suspects, 9.5% OHT. Correlation between mean and peak IOP by WDT and day DVT was strong and significant ( r = 0.89, P < 0.00; r = 0.73, P < 0.00) while it was weak for fluctuation ( r = 0.12, P < 0.07). Agreement on Bland and Altman plots was limited for mean IOP and poor for peak and fluctuations. Conclusion: An exaggerated WDT response may indicate a compromised outflow facility and warrant close patient monitoring but the WDT cannot substitute day DVT in our clinical practice.

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Water drinking test: new applications

Cited by 12 publications

References 9 publications

Applications of the water drinking test in glaucoma management

Applications of the water drinking test in glaucoma management

Investigating the Immediate and Cumulative Effects of Isometric Squat Exercise for Different Weight Loads on Intraocular Pressure: A Pilot Study

Comparison of intraocular pressure variability detected by day diurnal variation to that evoked by water drinking

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