Rate of progression of total, upper, and lower visual field defects in patients with open-angle glaucoma and high myopia

Yoshino, Takaiko; Fukuchi, Takeo; Togano, Tetsuya; Sakaue, Yuta; Seki, Masaaki; Tanaka, Takayuki; Ueda, Jun

doi:10.1007/s10384-016-0427-3

Cited by 9 publications

(5 citation statements)

References 25 publications

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“…While the rate of VF loss in POAG eyes, [41][42][43][44][45][46][47][48][49][50][51][52] as well as differences between the patterns of VF loss in POAG and PACG eyes, 27,30,34,53 has been reported previously, this is, to our knowledge, the first study directly investigating the differences in the rate of VF loss as well as the superior-inferior asymmetry between POAG and PACG eyes with automated perimetry. Lee and colleauges compared the rate of VF loss using the Goldmann perimetry; however, their relatively small number of eyes (25 POAG eyes and 23 PACG eyes) makes the comparison challenging.…”

Section: Discussionmentioning

confidence: 48%

Rates of Visual Field Loss in Primary Open-Angle Glaucoma and Primary Angle-Closure Glaucoma: Asymmetric Patterns

Yousefi

Murata

Fujino

et al. 2018

Invest. Ophthalmol. Vis. Sci.

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The purpose of this study was to evaluate the rate of visual field (VF) loss in primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG). METHODS. Four hundred forty eyes of 282 patients with POAG (aged 53.4 6 12.0: mean 6 standard deviation, years) and 79 eyes of 49 patients with PACG (aged 62.7 6 9.0 years) with at least six or more reliable VF tests were studied. Point-wise, region-wise, and global rates of VF change were assessed for POAG and PACG eyes. Only the VF records prior to laser iridotomy or cataract surgery were included in PACG eyes. The global and superior-inferior asymmetric rates of VF loss were compared between POAG and PACG eyes. RESULTS. The mean total deviation (mTD) values at baseline were À6.4 6 5.7 dB in POAG patients and À6.4 6 7.3 dB in PACG patients. There was not a significant difference in the progression rates of mTD between POAG eyes (À0.23 6 0.38 dB/y) and PACG eyes (À0.29 6 0.45 dB/y). In POAG eyes, the VF progression rate was significantly asymmetric across the horizontal line; the central, paracentral, and peripheral arcuate 2 regions in the superior hemifield had a significantly faster rate of VF loss than their inferior counterparts. In contrast, this asymmetry was not observed in the rate of VF loss in PACG eyes. CONCLUSIONS. POAG eyes showed a faster rate of VF loss in the superior hemifield compared to in the inferior hemifield, particularly in central and paracentral regions. This difference was not observed in PACG eyes.

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Section: Discussionmentioning

confidence: 48%

Rates of Visual Field Loss in Primary Open-Angle Glaucoma and Primary Angle-Closure Glaucoma: Asymmetric Patterns

Yousefi

Murata

Fujino

et al. 2018

Invest. Ophthalmol. Vis. Sci.

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“…[87][88][89] However, the other four studies did not report an association. [90][91][92][93] Whether progressive OAG is an important cause of myopic visual morbidity therefore remains questionable. Lack of data hampered investigation of the association between myopia and VA in OAG patients.…”

Section: The Risk Of Cataract Extraction (Ce)mentioning

confidence: 99%

The Complications of Myopia: A Review and Meta-Analysis

Haarman

Enthoven

Tideman

et al. 2020

Invest. Ophthalmol. Vis. Sci.

406

288

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Purpose To determine the risk between degree of myopia and myopic macular degeneration (MMD), retinal detachment (RD), cataract, open angle glaucoma (OAG), and blindness. Methods A systematic review and meta-analyses of studies published before June 2019 on myopia complications. Odds ratios (OR) per complication and spherical equivalent (SER) degree (low myopia SER < –0.5 to > –3.00 diopter [D]; moderate myopia SER ≤ –3.00 to > –6.00 D; high myopia SER ≤ –6.00 D) were calculated using fixed and random effects models. Results Low, moderate, and high myopia were all associated with increased risks of MMD (OR, 13.57, 95% confidence interval [CI], 6.18–29.79; OR, 72.74, 95% CI, 33.18–159.48; OR, 845.08, 95% CI, 230.05–3104.34, respectively); RD (OR, 3.15, 95% CI, 1.92–5.17; OR, 8.74, 95% CI, 7.28–10.50; OR, 12.62, 95% CI, 6.65–23.94, respectively); posterior subcapsular cataract (OR, 1.56, 95% CI, 1.32–1.84; OR, 2.55, 95% CI, 1.98–3.28; OR, 4.55, 95% CI, 2.66–7.75, respectively); nuclear cataract (OR, 1.79, 95% CI, 1.08–2.97; OR, 2.39, 95% CI, 1.03–5.55; OR, 2.87, 95% CI, 1.43–5.73, respectively); and OAG (OR, 1.59, 95% CI, 1.33–1.91; OR, 2.92, 95% CI, 1.89–4.52 for low and moderate/high myopia, respectively). The risk of visual impairment was strongly related to longer axial length, higher myopia degree, and age older than 60 years (OR, 1.71, 95% CI, 1.07–2.74; OR, 5.54, 95% CI, 3.12–9.85; and OR, 87.63, 95% CI, 34.50–222.58 for low, moderate, and high myopia in participants aged >60 years, respectively). Conclusions Although high myopia carries the highest risk of complications and visual impairment, low and moderate myopia also have considerable risks. These estimates should alert policy makers and health care professionals to make myopia a priority for prevention and treatment.

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“…Recently, a large number of longitudinal cohort studies have shown that myopia is not a risk factor for the progression of POAG [26,[32][33][34], and the relevant results even indicated that myopia may be a protective factor for POAG progression [33]. The lamina cribrosa defect may play a role in myopia-related POAG [35,36].…”

Section: Introductionmentioning

confidence: 99%

The Association between Myopia and Primary Open-Angle Glaucoma: A Systematic Review and Meta-Analysis

Hao

et al. 2021

Ophthalmic Res

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Background: Previous studies identified myopia as a risk factor for primary open-angle glaucoma (POAG). However, recent studies have shown different results, the definitive relationship between myopia and POAG remains controversial. Objectives: To investigate the relationship between myopia and POAG. Methods: Published articles were searched from PubMed, Embase, and Scopus databases between 1970 and 2020. A pooled analysis of the ORs was performed using a random-effects model. Results: Data on the association between myopia and POAG, were obtained from 16 cross sectional studies, and the pooled OR was 2.26 (95% confidence interval [CI], 1.77 – 2.89, P < 0.001) in random effects model (I2 = 86%; P < 0.01). For the relationship of myopia and POAG progression, data from seven longitudinal cohort studies were included and the pooled OR was 0.85 (95% CI, 0.73 – 0.99, P = 0.042) in the random-effects model (I2 = 88%; P < 0.01). Conclusion: Our findings demonstrated that myopia may be a risk factor associated with POAG and a possible protective factor for POAG progression. It may due to myopia with the presence of a lamina cribrosa defect slow down the visual field loss also POAG progression, further research for underlying mechanisms is still needed.

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Rate of progression of total, upper, and lower visual field defects in patients with open-angle glaucoma and high myopia

Cited by 9 publications

References 25 publications

Rates of Visual Field Loss in Primary Open-Angle Glaucoma and Primary Angle-Closure Glaucoma: Asymmetric Patterns

Rates of Visual Field Loss in Primary Open-Angle Glaucoma and Primary Angle-Closure Glaucoma: Asymmetric Patterns

The Complications of Myopia: A Review and Meta-Analysis

The Association between Myopia and Primary Open-Angle Glaucoma: A Systematic Review and Meta-Analysis

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