Night-time blood pressure dipping, but not 24-h blood pressure level, is linked to increased 24-h ocular volume slope

• Published in: Arquivos brasileiros de oftalmologia 2025-01, Vol.88 (1), p.e20220236-7
• Main Authors: Skrzypecki, Janusz, Szymański, F M, Przybek-Skrzypecka, J, Izdebska, Justyna, Ryś-Czaporowska, A, Filipiak, K J, Szaflik, Jacek P
• Format: Article
• Language: English
• Subjects: Adult; Blood Pressure - physiology; Blood Pressure Monitoring, Ambulatory - methods; Case-Control Studies; Circadian Rhythm - physiology; Female; Humans; Hypertension - physiopathology; Intraocular Pressure - physiology; Male; Middle Aged; OPHTHALMOLOGY; Reference Values; Time Factors; Tonometry, Ocular - methods
• ISSN: 0004-2749; 1678-2925; 1678-2925
• DOI: 10.5935/0004-2749.2022-0236

This study investigated the relationship between blood pressure and intraocular pressure in treatmentnaive, non-glaucoma patients with different blood pressure statuses, focusing on the 24-h ocular volume and nocturnal blood pressure decline. Treatment-naive, non-glaucoma patients undergoing hypertension evaluation were enrolled as study participants. Simultaneous 24-h ambulatory blood pressure measurement and 24-h ocular volume recording with a contact lens sensor. We also compared ocular volume curve parameters between normotensive and hypertensive patients, as well as between those with and without nocturnal blood pressure decline. A total of 21 patients, including 7 normotensive and 14 treatment-naive hypertensive individuals, were included in the study. of them, 11 were dippers and 10 were non-dippers. No significant difference in the 24-h ocular volume slope was observed between the hypertensive and normotensive patients (p=0.284). However, dippers had a significantly higher 24-h ocular volume slope (p=0.004) and nocturnal contact lens sensor output (p=0.041) than non-dippers. Nocturnal blood pressure decline, rather than the blood pressure level, is associated with the increased 24-h ocular volume slope and nocturnal ocular volume. Further studies are required to determine whether the acceleration of glaucoma progression in dippers is primarily due to low blood pressure, high intraocular pressure, or a combination of both.