A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study
Purpose. The Glaucoma Stereo Analysis Study, a cross-sectional multicenter collaborative study, used a stereo fundus camera (nonmyd WX) to assess various morphological parameters of the optic nerve head (ONH) in glaucoma patients. We compared the associations of each parameter between the visual fie...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/8941489 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849305247939297280 |
|---|---|
| author | Yasushi Kitaoka Masaki Tanito Yu Yokoyama Koji Nitta Maki Katai Kazuko Omodaka Toru Nakazawa |
| author_facet | Yasushi Kitaoka Masaki Tanito Yu Yokoyama Koji Nitta Maki Katai Kazuko Omodaka Toru Nakazawa |
| author_sort | Yasushi Kitaoka |
| collection | DOAJ |
| description | Purpose. The Glaucoma Stereo Analysis Study, a cross-sectional multicenter collaborative study, used a stereo fundus camera (nonmyd WX) to assess various morphological parameters of the optic nerve head (ONH) in glaucoma patients. We compared the associations of each parameter between the visual field loss progression group and no-progression group. Methods. The study included 187 eyes of 187 patients with primary open-angle glaucoma or normal-tension glaucoma. We divided the mean deviation (MD) slope values of all patients into the progression group (<−0.3 dB/year) and no-progression group (≧−0.3 dB/year). ONH morphological parameters were calculated with prototype analysis software. The correlations between glaucomatous visual field progression and patient characteristics or each ONH parameter were analyzed with Spearman’s rank correlation coefficient. Results. The MD slope averages in the progression group and no-progression group were −0.58 ± 0.28 dB/year and 0.05 ± 0.26 dB/year, respectively. Among disc parameters, vertical disc width (diameter), disc area, cup area, and cup volume in the progression group were significantly less than those in the no-progression group. Logistic regression analysis revealed a significant association between the visual field progression and disc area (odds ratio 0.49/mm2 disc area). Conclusion. A smaller disc area may be associated with more rapid glaucomatous visual field progression. |
| format | Article |
| id | doaj-art-033f8a8cdcf747a6abe19f8ca603c1d9 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-033f8a8cdcf747a6abe19f8ca603c1d92025-08-20T03:55:32ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/89414898941489A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis StudyYasushi Kitaoka0Masaki Tanito1Yu Yokoyama2Koji Nitta3Maki Katai4Kazuko Omodaka5Toru Nakazawa6Department of Ophthalmology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDivision of Ophthalmology, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane 690-8506, JapanDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, JapanDepartment of Ophthalmology, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-machi, Fukui 918-8503, JapanDepartment of Ophthalmology, Sapporo Medical Center Nippon Telegraph and Telephone East Corporation, South 1 West 15, Chuo-ku, Sapporo 060-0061, JapanDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, JapanDepartment of Ophthalmology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, JapanPurpose. The Glaucoma Stereo Analysis Study, a cross-sectional multicenter collaborative study, used a stereo fundus camera (nonmyd WX) to assess various morphological parameters of the optic nerve head (ONH) in glaucoma patients. We compared the associations of each parameter between the visual field loss progression group and no-progression group. Methods. The study included 187 eyes of 187 patients with primary open-angle glaucoma or normal-tension glaucoma. We divided the mean deviation (MD) slope values of all patients into the progression group (<−0.3 dB/year) and no-progression group (≧−0.3 dB/year). ONH morphological parameters were calculated with prototype analysis software. The correlations between glaucomatous visual field progression and patient characteristics or each ONH parameter were analyzed with Spearman’s rank correlation coefficient. Results. The MD slope averages in the progression group and no-progression group were −0.58 ± 0.28 dB/year and 0.05 ± 0.26 dB/year, respectively. Among disc parameters, vertical disc width (diameter), disc area, cup area, and cup volume in the progression group were significantly less than those in the no-progression group. Logistic regression analysis revealed a significant association between the visual field progression and disc area (odds ratio 0.49/mm2 disc area). Conclusion. A smaller disc area may be associated with more rapid glaucomatous visual field progression.http://dx.doi.org/10.1155/2018/8941489 |
| spellingShingle | Yasushi Kitaoka Masaki Tanito Yu Yokoyama Koji Nitta Maki Katai Kazuko Omodaka Toru Nakazawa A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study Journal of Ophthalmology |
| title | A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study |
| title_full | A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study |
| title_fullStr | A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study |
| title_full_unstemmed | A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study |
| title_short | A Small Disc Area Is a Risk Factor for Visual Field Loss Progression in Primary Open-Angle Glaucoma: The Glaucoma Stereo Analysis Study |
| title_sort | small disc area is a risk factor for visual field loss progression in primary open angle glaucoma the glaucoma stereo analysis study |
| url | http://dx.doi.org/10.1155/2018/8941489 |
| work_keys_str_mv | AT yasushikitaoka asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT masakitanito asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT yuyokoyama asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT kojinitta asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT makikatai asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT kazukoomodaka asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT torunakazawa asmalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT yasushikitaoka smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT masakitanito smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT yuyokoyama smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT kojinitta smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT makikatai smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT kazukoomodaka smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy AT torunakazawa smalldiscareaisariskfactorforvisualfieldlossprogressioninprimaryopenangleglaucomatheglaucomastereoanalysisstudy |