AI Article Synopsis
- The study aimed to explore how the positions of the optic disc and major retinal arteries affect the progression of visual field loss in patients with primary open angle glaucoma (POAG).
- Researchers measured visual fields in 116 eyes of 73 patients, looking at various retinal structural parameters and their relationships to the rates of visual field deterioration.
- Results indicated that a narrower angle of the superior retinal artery was linked to faster progression in specific sectors of the inferior visual field, but the tilt of the papillomacular bundle did not show any significant relationship to progression rates.
Article Abstract
Purpose: To investigate whether retinal structural parameters, including positions of the optic disc and major retinal arteries, affect glaucomatous progression of the visual field (VF).
Methods: In this cohort study, 116 eyes of 73 patients with primary open angle glaucoma (POAG) were included. VFs were measured using the Humphrey Field Analyzer 24-2 program and the VF was divided into seven sectors according to the corresponding optic disc angle. Average total deviation (TD) was calculated in each sector. Positions of major retinal arteries in the superotemporal and inferotemporal areas were decided by identifying the points where the retinal artery intersected the 3.4-mm-diameter circle around the optic disc. The relationship between sectorial TD VF progression rate and eight variables (age, mean and standard deviation of intraocular pressure during the observation period, baseline sectorial TD value, papillomacular bundle tilt angle, and axial length, along with superior/inferior arterial angle) was investigated.
Results: The main outcome measures were the association between retinal structural parameters and glaucomatous progression of VF. The superior retinal artery angular position was positively associated with sectorial TD progression rates in two central sectors in the inferior hemifield, which suggests faster VF progression where superior retinal artery angles are narrow. Papillomacular bundle tilt was not associated with TD progression rate in any sector.
Conclusions: Progression of the inferior VF was associated with the superior retinal artery angular position in this study of POAG.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8434752 | PMC |
| http://dx.doi.org/10.1167/iovs.62.12.6 | DOI Listing |
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