Abstract | BACKGROUND: To investigate the thinning rate of three-dimensional neuroretinal rim thickness (3D-NRT) in glaucoma eyes with optic disc haemorrhage (DH) and its relationship to retinal nerve fibre layer thickness (RNFLT) progression. METHODS: Ninety-five (95) eyes of 95 glaucoma patients with initial DH in the inferotemporal (n=69) and superotemporal (n=26) regions and 48 eyes of 48 glaucoma patients without DH were retrospectively reviewed. The rates of change for 3D-NRT and RNFLT were compared by linear mixed-effect model. For the direct comparison between 3D-NRT and RNFLT, dynamic-range-based normalised coefficient was used. The effect of DH frequency on the rates of thinning of 3D-NRT and RNFLT was evaluated. RESULTS: During a mean 7-year follow-up, the rates of thinning of 3D-NRT (-5.69±4.88 µm/year) and RNFLT (-2.03±2.03 µm/year) at 7 o'clock were faster than those at other locations (all p<0.05) in DH eyes. The dynamic-range-based normalised rate of thinning was significantly faster for RNFLT (-2.06%±1.62%/year) than for 3D-NRT (-1.15%±1.10%/year, p<0.001) in DH eyes, but not in non-DH eyes (p=0.43). DH frequency in the inferotemporal region was associated with the thinning rate of 3D-NRT as well as RNFLT. CONCLUSION: DH eyes are associated with the progression of both 3D-NRT and RNFLT, especially in the inferotemporal region. DH eyes show a relatively faster thinning rate of average RNFLT than 3D-NRT. The frequency of DH can affect the progression of 3D-NRT as well as RNFLT.
|
Authors | Yong Woo Kim, Won June Lee, Bo Ram Seol, Young Kook Kim, Jin Wook Jeoung, Ki Ho Park |
Journal | The British journal of ophthalmology
(Br J Ophthalmol)
Vol. 104
Issue 5
Pg. 648-654
(05 2020)
ISSN: 1468-2079 [Electronic] England |
PMID | 31395698
(Publication Type: Comparative Study, Journal Article, Observational Study)
|
Copyright | © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. |
Topics |
- Female
- Follow-Up Studies
- Glaucoma, Open-Angle
(complications, diagnosis, physiopathology)
- Humans
- Imaging, Three-Dimensional
(methods)
- Intraocular Pressure
(physiology)
- Male
- Middle Aged
- Nerve Fibers
(pathology)
- Optic Disk
(blood supply, pathology)
- Retinal Ganglion Cells
(pathology)
- Retinal Hemorrhage
(diagnosis, etiology)
- Retrospective Studies
- Tomography, Optical Coherence
(methods)
|