원발개방각녹내장, 정상안압녹내장 및 원발폐쇄각녹내장에서 시야진행의 비교 연구
Visual Field Progression in Patients with Primary Open Angle Glaucoma, Normal Tension Glaucoma, and Primary Angle Closure Glaucoma
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
목적: 원발개방각녹내장, 정상안압녹내장 및 원발폐쇄각녹내장 환자에서 시야 진행의 패턴, 속도 및 위치에 대해 비교해보고자 하였다. 대상과 방법: 115안의 원발개방각녹내장, 123안의 정상안압녹내장, 92안의 원발폐쇄각녹내장 환자를 대상으로 후향적 의무기록 분석을 시행하였다. Mean deviation을 이용하여 전반적인 시야진행 속도를 분석하였고, 국소적인 시야진행은 암점확대와 암점심화로 나누어 각 군별로 상측활모양영역, 하측활모양영역, 중심부영역에서 분석하였다. 결과: 평균 전반적인 시야진행속도의 변화는 원발개방각녹내장군에서 -0.52 ± 0.74 dB/year, 정상안압녹내장군에서 -0.35 ± 0.41 dB/year, 원발폐쇄각녹내장군에서 -0.38 ± 0.45 dB/year로 원발개방각녹내장군에서 통계적으로 유의하게 빠른 진행 소견을 보였다(p＜0.01). 원발개방각녹내장군은 상측활모양영역에서, 정상안압녹내장군은 중심부영역에서, 원발폐쇄각녹내장군은 하측활모양영역에서 큰 암점확대와 암점심화를 보였다. 결론: 원발개방각녹내장군에서는 상측활모양영역에서, 정상안압녹내장군에서는 중심부영역에서, 원발폐쇄각녹내장군에서는 하측활모양영역에서 큰 시야진행을 보였다.
Abstract
Purpose: We compared visual field progression among patients with primary open-angle glaucoma (POAG), normal tension glaucoma (NTG), and primary angle-closure glaucoma (PACG). Methods: A total of 115 POAG, 123 NTG, and 92 PACG eyes were retrospectively analyzed. Global VF progression was evaluated by calculating the changes of mean deviations. To examine local VF deterioration, scotoma enlargement and deepening were analyzed in the superior, and inferior arcuate, and the central, zones. Results: The mean global rate of change in POAG eyes was -0.52 ± 0.74 dB/year, and -0.35 ± 0.41, and -0.38 ± 0.45 dB/year in NTG and PACG eyes; POAG eyes showed significantly more rapid progression than NTG and PACG eyes (p < 0.01). The superior arcuate zone of POAG eyes, the central zone of NTG eyes, and the inferior arcuate zone of PACG eyes exhibited more scotoma enlargement and scotoma deepening than did other zones. Conclusions: The superior arcuate zone of POAG eyes, the central zone of NTG eyes, and the inferior arcuate zone of PACG eyes showed greater VF progression.
참고문헌 (42)
- Hyman L, "Prevalence and causes of visual impairment in The Barbados Eye Study", Ophthalmology, 108, pp.1751~1756 (2001)
- The AGIS Investigators, "The Advanced Glaucoma Intervention Study (AGIS): 7. the relationship between control of intraocular pressure and visual field deterioration", Am J Ophthalmol, 130, pp.429~440 (2000)
- Shields MB, "Normal-tension glaucoma : is it different from primary open-angle glaucoma?", Curr Opin Ophthalmol, 19, pp.85~88 (2008)
- Lee BL, "The definition of normal-tension glaucoma", J Glaucoma, 7, pp.366~371 (1998)
- Sun X, "Primary angle closure glaucoma : what we know and what we don't know", Prog Retin Eye Res, 57, pp.26~45 (2017)
- Dandona L, "Angle-closure glaucoma in an urban population in southern India. The Andhra Pradesh eye disease study", Ophthalmology, 107, pp.1710~1716 (2000)
- Nongpiur ME, "Lens vault, thickness, and position in Chinese subjects with angle closure", Ophthalmology, 118, pp.474~479 (2011)
- Janz NK, "Quality of life in newly diagnosed glaucoma patients : The Collaborative Initial Glaucoma Treatment Study", Ophthalmology, 108, pp.887~897 (2001)
- Sung KR, "Vision-related quality of life in Korean glaucoma patients", J Glaucoma, 26, pp.159~165 (2017)
- Hodapp E, "Clinical decisions in glaucoma", pp.46~52 (1993), St. Louis
- Fitzke FW, "Analysis of visual field progression in glaucoma", Br J Ophthalmol, 80, pp.40~48 (1996)
- Boden C, "Patterns of glaucomatous visual field progression identified by three progression criteria", Am J Ophthalmol, 138, pp.1029~1036 (2004)
- 강병완, "정상안압녹내장에서 초기 시야결손의 발생위치와 관련된 임상인자 분석", 대한안과학회지, 52(12), pp.1478~1484 (2011), 대한안과학회
- Cheng HC, "Patient-reported vision-related quality of life differences between superior and inferior hemifield visual field defects in primary open-angle glaucoma", JAMA Ophthalmol, 133, pp.269~275 (2015)
- Black AA, "Inferior field loss increases rate of falls in older adults with glaucoma", Optom Vis Sci, 88, pp.1275~1282 (2011)
- Sawada H, "Assessment of the vision-specific quality of life using clustered visual field in glaucoma patients", J Glaucoma, 23, pp.81~87 (2014)
- Musch DC, "Visual field progression in the Collaborative Initial Glaucoma Treatment Study the impact of treatment and other baseline factors", Ophthalmology, 116, pp.200~207 (2009)
- Heijl A, "Natural history of open-angle glaucoma", Ophthalmology, 116, pp.2271~2276 (2009)
- Smith SD, "Analysis of progressive change in automated visual fields in glaucoma", Invest Ophthalmol Vis Sci, 37, pp.1419~1428 (1996)
- Chauhan BC, "Rates of glaucomatous visual field change in a large clinical population", Invest Ophthalmol Vis Sci, 55, pp.4135~4143 (2014)
- Lee YH, "Rate of visual field progression in primary open-angle glaucoma and primary angle-closure glaucoma", Korean J Ophthalmol, 18, pp.106~115 (2004)
- Le A, "Risk factors associated with the incidence of open-angle glaucoma : the visual impairment project", Invest Ophthalmol Vis Sci, 44, pp.3783~3789 (2003)
- Leske MC, "Predictors of long-term progression in the early manifest glaucoma trial", Ophthalmology, 114, pp.1965~1972 (2007)
- Heijl A, "Reduction of intraocular pressure and glaucoma progression : results from the Early Manifest Glaucoma Trial", Arch Ophthalmol, 120, pp.1268~1279 (2002)
- De Moraes CG, "Risk factors for visual field progression in treated glaucoma", Arch Ophthalmol, 129, pp.562~568 (2011)
- Crichton A, "Unequal intraocular pressure and its relation to asymmetric visual field defects in low-tension glaucoma", Ophthalmology, 96, pp.1312~1314 (1989)
- Gazzard G, "The severity and spatial distribution of visual field defects in primary glaucoma : a comparison of primary open-angle glaucoma and primary angle-closure glaucoma", Arch Ophthalmol, 120, pp.1636~1643 (2002)
- Nouri-Mahdavi K, "Patterns of damage in chronic angle-closure glaucoma compared to primary open-angle glaucoma", Am J Ophthalmol, 152, pp.74~80 (2011)
- Membrey WL, "Comparison of visual field progression in patients with normal pressure glaucoma between eyes with and without visual field loss that threatens fixation", Br J Ophthalmol, 84, pp.1154~1158 (2000)
- Drance S, "Risk factors for progression of visual field abnormalities in normal-tension glaucoma", Am J Ophthalmol, 131, pp.699~708 (2001)
- Hendrickx KH, "Cumulative incidence of patients with disc hemorrhages in glaucoma and the effect of therapy", Ophthalmology, 101, pp.1165~1172 (1994)
- Ishida K, "Disk hemorrhage is a significantly negative prognostic factor in normal-tension glaucoma", Am J Ophthalmol, 129, pp.707~714 (2000)
- Kitazawa Y, "Optic disc hemorrhage in low-tension glaucoma", Ophthalmology, 93, pp.853~857 (1986)
- Tezel G, "Comparative optic disc analysis in normal pressure glaucoma, primary open-angle glaucoma, and ocular hypertension", Ophthalmology, 103, pp.2105~2113 (1996)
- YousefiS, "Asymmetric patterns of visual field defect in primary open-angle and primary angle-closure glaucoma", Invest Ophthalmol Vis Sci, 59, pp.1279~1287 (2018)
- Atalay E, "Pattern of visual field loss in primary angle-closure glaucoma across different severity levels", Ophthalmology, 123, pp.1957~1964 (2016)
- Douglas GR, "The visual field and nerve head in angle-closure glaucoma. A comparison of the effects of acute and chronic angle closure", Arch Ophthalmol, 93, pp.409~411 (1975)
- Cheng HC, "Patient-reported vision-related quality-of-life differences between primary angle-closure glaucoma and primary open-angle glaucoma", PLoS One, 11, pp.e0163123~ (2016)
- Glen FC, "Impact of superior and inferior visual field loss on hazard detection in a computer-based driving test", Br J Ophthalmol, 99, pp.613~617 (2015)
- Koucheki B, "Visual field changes after cataract extraction : the AGIS experience", Am J Ophthalmol, 138, pp.1022~1028 (2004)
- Asman P, "Appearance of the pattern deviation map as a function of change in area of localized field loss", Invest Ophthalmol Vis Sci, 45, pp.3099~3106 (2004)
- Artes PH, "Visual field progression in glaucoma : total versus pattern deviation analyses", Invest Ophthalmol Vis Sci, 46, pp.4600~4606 (2005)