Basal evaluation and rates of progression based on visual fields in six different glaucoma types of a large population

Autor: Sara García Caride, Federico Sáenz-francés San Baldomero, Laura Morales Fernández, Lucia Perucho González, Julián García Feijoo, José María Martínez de la Casa
Rok vydání: 2023
Předmět:
Zdroj: European Journal of Ophthalmology. :112067212311731
ISSN: 1724-6016
1120-6721
DOI: 10.1177/11206721231173172
Popis: Purpose The aim of this study is to analyze the distribution of visual field (VF) mean defect (MD) in six subgroups of glaucoma patients at baseline and follow-up. Methods We assessed glaucoma patients treated in a Spanish tertiary care setting with a follow-up of at least 10 months. We have included 1036 visual fields and the following glaucoma subtypes: open-Angle Glaucoma (OAG); Angle-Closure Glaucoma (ACG); Congenital Glaucoma (CG); Ocular hypertension (OHT); Pseudoexfoliative Glaucoma (PSXG); Pigmentary Glaucoma (PG). We have calculated the baseline MD and the progression MD. We have stratified the MD progression in slow (MD rate > −0.5 dB/year); moderate (MD rate between −0.5 and −1 dB/year) fast (MD rate between −1 and −2 dB/year) and catastrophic (Results The glaucoma types with the worse baseline MD were CG and PG. We found significant differences after comparing the baseline MD of CG and OAG, ACG, OHT and between PG and OHT. Concerning the MD progression rate: OAG 73.54% showed slow MD progression rate; 9.85% fast; 7.3% moderate and 9.3% catastrophic. ACG 82.22% slow; 8.89% moderate; 2.22% fast and 6.67% catastrophic. CG 68.83% slow; 9.09% fast; 7.79% moderate and 14.29% catastrophic. OHT 88.6% slow; 6.14% moderate; 4.39% fast and 0.88% catastrophic. PSXG 63.24% slow, 13.24% moderate; 8.8% fast and 14.7% catastrophic. PG 89.29% slow; 3.57% moderate and 7.1% fast. Conclusions The CG requires special attention because of its aggressive presentation and progression.
Databáze: OpenAIRE