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Jeong Y, Bak E, Jang M, Ha A, Shin YI, Huh MG, Kim YK, Jeoung JW, Park KH. Clinical Significance of Optic Disc Hemorrhage Size in Visual Field Progression in Glaucoma. Am J Ophthalmol 2024; 263:109-116. [PMID: 38395332 DOI: 10.1016/j.ajo.2024.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Revised: 02/14/2024] [Accepted: 02/15/2024] [Indexed: 02/25/2024]
Abstract
PURPOSE To investigate the correlation between optic disc hemorrhage (DH) size and glaucoma progression. DESIGN A retrospective observational cohort study METHODS: SETTING: A single tertiary hospital in South Korea STUDY POPULATION: Two hundred and fifty (250) open-angle glaucoma (OAG) patients with DH. Participants were followed for 5 years or longer, with a minimum of 5 visual field (VF) tests. OBSERVATION PROCEDURE The DH area was calculated by comparing the pixel numbers of the DH area with the disc area based on optical coherence tomography (OCT). For recurrent DH cases, we calculated the average DH area. DH size was classified as large or small based on the median value. Rates of mean deviation (MD) loss were determined using guided progression analysis (GPA). Univariable and multivariable regression analyses were performed to identify significant predictors of MD loss. MAIN OUTCOME MEASURES DH size and longitudinal VF progression RESULTS: The mean follow-up period was 11.1 ± 3.6 years. The group with large DH showed faster global MD loss relative to the group with small DH (-0.51±0.48 dB/y vs -0.36 ± 0.42 dB/y, P = .01). In the multivariable model, mean DH size, maximum DH size, and initial MD were all significantly associated with the overall rate of MD loss (all P < .05). CONCLUSIONS DH size was associated with the rate of VF deterioration. Eyes with larger DH showed more pronounced VF progression.
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Affiliation(s)
- Yoon Jeong
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea
| | - Eunoo Bak
- Department of Ophthalmology, Uijeongbu Eulji Medical Center (E.B.), Eulji University School of Medicine, Uijeongbu, Korea
| | - Mirinae Jang
- Department of Ophthalmology (M.J.), Yeongdong Eye Clinic, Pohang, Korea
| | - Ahnul Ha
- Department of Ophthalmology (A.H.), Jeju National University Hospital, Jeju-si, Korea; Department of Ophthalmology (A.H.), Jeju National University College of Medicine, Jeju-si, Korea
| | - Young In Shin
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea
| | - Min Gu Huh
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea
| | - Young Kook Kim
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea; Department of Ophthalmology (Y.K.K., J.W.J. K.H.P.), Seoul National University College of Medicine, Seoul, Korea
| | - Jin Wook Jeoung
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea; Department of Ophthalmology (Y.K.K., J.W.J. K.H.P.), Seoul National University College of Medicine, Seoul, Korea
| | - Ki Ho Park
- From the Department of Ophthalmology (Y.J., Y.S., M.G.H., Y.K.K., J.W.J., K.H.P.), Seoul National University Hospital, Seoul, Korea; Department of Ophthalmology (Y.K.K., J.W.J. K.H.P.), Seoul National University College of Medicine, Seoul, Korea.
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