PMID- 35544935 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231221 IS - 1678-2925 (Electronic) IS - 0004-2749 (Linking) VI - 86 IP - 5 DP - 2022 TI - Arterial hemodynamics and its correlation with retinal microarchitecture in pseudoexfoliation glaucoma. PG - e20230065 LID - 10.5935/0004-2749.20230065 [doi] AB - PURPOSE: The study aimed to investigate the correlation between arterial hemodynamics measured by color Doppler ultrasonography and retinal microarchitecture parameters determined by spectral-domain optical coherence tomography (SD-OCT) in pseudoexfoliation glaucoma. METHODS: This prospective study included 82 participants. Peripapillary retinal nerve fiber layer, ganglion cell inner plexiform layer, and ganglion cell complex values were measured. Ophthalmic artery and central retinal artery flows were evaluated with color Doppler ultrasonography, and resistivity index values were calculated. RESULTS: The study included 47 controls and 35 pseudoexfoliation glaucoma cases. In pseudoexfoliation glaucoma group, mean peripapillary retinal nerve fiber layer and ganglion cell complex thickness were statistically significantly lower in all quadrants compared to controls (p<0.001). Resistivity index values of the ophthalmic and central retinal arteries were significantly higher in pseudoexfoliation glaucoma group than in the controls (p<0.001 and r=0.684). Resistivity index values of the ophthalmic and central retinal arteries with ganglion cell complex thickness correlated significantly. On the other hand, no significant relationship for retinal nerve fiber layer thickness was identified. CONCLUSIONS: Structural changes (ganglion cell complex and ganglion cell inner plexiform layer) in patients with pseudoexfoliation glaucoma and early glaucomatous loss showed a significant correlation with changes in ocular vascular hemodynamics. In cases where systemic vascular resistance is increased, ganglion cell complex and ganglion cell inner plexiform layer may not exactly reflect glaucoma state. In such cases, thickness changes in the retinal nerve fiber layer may give more realistic results regarding glaucoma. We have seen that pseudoexfoliation glaucoma-induced structural deterioration and increased resistance in ocular hemodynamics correlated with ganglion cell complex, but not retinal nerve fiber layer. FAU - Kocaturk, Tolga AU - Kocaturk T AUID- ORCID: 0000-0001-5187-227X AD - Department of Ophthalmology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey. FAU - Abdullayev, Ozge Key AU - Abdullayev OK AD - Department of Ophthalmology, Aydin State Hospital, Aydin, Turkey. FAU - Bekmez, Sinan AU - Bekmez S AUID- ORCID: 0000-0002-7849-2717 AD - Department of Ophthalmology, University of Health Sciences Dr. Behcet Uz Child Disease and Pediatric Surgery Training and Research Hospital, Izmir, Turkey. FAU - Polat, Yasemin Durum AU - Polat YD AD - Department of Radiology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey. LA - eng PT - Journal Article DEP - 20220509 PL - Brazil TA - Arq Bras Oftalmol JT - Arquivos brasileiros de oftalmologia JID - 0400645 SB - IM EDAT- 2022/05/12 06:00 MHDA- 2022/05/12 06:01 CRDT- 2022/05/11 17:34 PHST- 2021/06/09 00:00 [received] PHST- 2021/12/13 00:00 [accepted] PHST- 2022/05/12 06:01 [medline] PHST- 2022/05/12 06:00 [pubmed] PHST- 2022/05/11 17:34 [entrez] AID - S0004-27492022005006211 [pii] AID - 10.5935/0004-2749.20230065 [doi] PST - epublish SO - Arq Bras Oftalmol. 2022 May 9;86(5):e20230065. doi: 10.5935/0004-2749.20230065. eCollection 2022.