Implications of optic disc rotation in the visual field progression of myopic open-angle glaucoma.

IF 2.4 3区医学 Q2 OPHTHALMOLOGY

Graefe’s Archive for Clinical and Experimental Ophthalmology Pub Date : 2025-05-01 Epub Date: 2024-12-27 DOI:10.1007/s00417-024-06726-0

Pei-Ning Tu, Chih-Heng Hung, Yi-Chun Chen

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Abstract

Purpose: To investigate the relationship between the characteristics of optic disc rotation and visual field (VF) progression in patients with myopic open-angle glaucoma (OAG).

Methods: We included 53 eyes from 53 myopic OAG patients who were followed-up over a 3-year period. The characteristics of optic disc rotation including the degree of optic disc rotation, direction of optic disc rotation, and optic disc rotation-VF defect correspondence were investigated. The rates of global and regional VF progression were compared with different characteristics of optic disc rotation.

Results: Thirty-seven eyes (69.8%) showed inferior optic disc rotation and 41 (77.4%) eyes showed optic disc rotation-VF defect correspondence. The inferiorly rotated optic discs with corresponding superior VF defect had faster VF progression in the superior peripheral region (P = 0.028) and superiorly rotated optic discs with corresponding inferior VF defect had faster VF progression in the inferior peripheral region (P = 0.031). The VF progression was restricted to the superior hemifield in the eyes with inferiorly rotated optic discs and corresponding superior VF defects.

Conclusion: In myopic OAG patients, the direction of optic disc rotation might predict faster VF progression in the corresponding peripheral region.

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视盘旋转对近视开角型青光眼视野进展的影响。

目的：探讨近视开角型青光眼（OAG）患者视盘旋转特征与视野（VF）进展的关系。方法：对53例近视OAG患者的53只眼进行了为期3年的随访。研究了视盘旋转的特性，包括视盘旋转的程度、视盘旋转的方向以及视盘旋转与vf缺陷的对应关系。比较了视盘旋转的不同特征对VF整体和局部进展的影响。结果：视盘旋转不良37眼（69.8%），视盘旋转- vf缺损对应41眼（77.4%）。下旋转伴上VF缺损的视盘上外周区VF进展较快（P = 0.028），上旋转伴下VF缺损的视盘下外周区VF进展较快（P = 0.031）。视盘下旋及相应的上视盘缺损的眼，视盘缺损的进展局限于上半视野。结论：在近视OAG患者中，视盘旋转方向可能预示着相应外周区的VF进展更快。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Graefe’s Archive for Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

5.40

自引率

7.40%

发文量

398

审稿时长

3 months

期刊介绍： Graefe''s Archive for Clinical and Experimental Ophthalmology is a distinguished international journal that presents original clinical reports and clini-cally relevant experimental studies. Founded in 1854 by Albrecht von Graefe to serve as a source of useful clinical information and a stimulus for discussion, the journal has published articles by leading ophthalmologists and vision research scientists for more than a century. With peer review by an international Editorial Board and prompt English-language publication, Graefe''s Archive provides rapid dissemination of clinical and clinically related experimental information.