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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.46624/bjmhr.2020.v7.i5.010</article-id>
      <article-id pub-id-type="publisher-id">BJMHR0705010</article-id>
      <title-group>
        <article-title>EVALUATION OF HEMODYNAMIC CHANGES IN RETRO-ORBITAL VESSELS BY COLOR DOPPLER IN GLAUCOMA PATIENTS</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>reddy</surname>
            <given-names>Vemireddy Pradeep Kumar</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>PM</surname>
            <given-names>Venkata Sai</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Gour</surname>
            <given-names>Ritu</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">DNB radiology, 
Fellowship in cross-sectional imaging</aff>
      <aff id="aff2">Head of Department, Radiology.</aff>
      <aff id="aff3">DNB radiology</aff>
      <pub-date pub-type="epub" iso-8601-date="2020-05-01">
        <month>05</month>
        <day>01</day>
        <year>2020</year>
      </pub-date>
      <volume>7</volume>
      <issue>5</issue>
      <abstract>
        <p>Background: In glaucoma, only one-third to half have elevated IOP at initial stages. Hemodynamic parameters measured using Colour Doppler Imaging (CDI) parameters can differentiate eyes suffering from Glaucoma compared to normal eyes early. To evaluate the role of CDI in glaucoma patients and to compare hemodynamic changes and resistive index in Ophthalmic artery (OA), Central retinal artery (CRA), Short posterior ciliary arteries (SPCA) in glaucoma patients and controls.
Methods: A case control study was conducted on 30 cases of Glaucoma and 30 controls.  IOP measurement, fundus examination and CDI was done. The Peak Systolic Velocity (PSV), End Diastolic Velocity (EDV) values, Systolic/ diastolic (S/D) ratio were obtained for the OA, CRA and SPCA.  Resistive Index (RI) was calculated as (PSV - EDV)/PSV. IBM SPSS version 22 was used for statistical analysis. P value &lt; 0.05 was considered statistically significant. Chi square test/Fisherâ€™s exact test was used for qualitative variables while independent sample t-test was used for quantitative variables.
Results: The difference between the two groups was statistically significant with respect to PSV OA and EDV SPCA. The mean difference of RI OA, RI CRA, RI SPCA in the glaucoma group was statistically not significant. ROC curve analysis revealed a good predictive value (AUC = 0.647) for the PSV OA in predicting Glaucoma.
Conclusions: Hemodynamic parameters measured using CDI can differentiate glaucomatous eyes from normal eyes.</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Glaucoma</kwd>
        <kwd>Retrobulbar blood flow</kwd>
        <kwd>Colour Doppler Imaging</kwd>
        <kwd>Primary Open Angle Glaucoma</kwd>
        <kwd>Normal Tension Glaucoma</kwd>
        <kwd>Resistive Index</kwd>
      </kwd-group>
    </article-meta>
  </front>
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