Vessel Density in the Macular and Peripapillary Areas in Preperimetric Glaucoma to Various Stages of Primary Open-Angle Glaucoma in Taiwan

Journal of Clinical Medicine

Chung-Kuang Ko¹  Mei-Lan Ko²  Kuan-I Huang³  Fang-Ying Su⁴ 

[1] Department of Neurology, China Medical University Hospital, Taichung 404, Taiwan;Department of Ophthalmology, National Taiwan University Hospital, Hsinchu 300, Taiwan;Department of Ophthalmology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan;Institute of Statistics, National Chiao Tung University, Hsinchu 300, Taiwan;

关键词: glaucoma;    macula;    peripapillary;    optical coherence tomography-angiography;    vessel density;    myopia;   

DOI  :  10.3390/jcm10235490

来源: DOAJ

【 摘 要 】

Peripapillary and macular vessel density (VD) are reduced in myopic non-glaucomatous eyes, the dynamic range of VD may be decreased by myopia, and whether VD measurement has the potential in differentiating stages of glaucoma severity in patients with myopic glaucoma remains questionable. This observational, cross-sectional study aimed to clarify the changes in peripapillary and macular VDs in preperimetric glaucoma (PPG) and primary open-angle glaucoma in the early, moderate, and late stages. A total of 1228 eyes from 661 participants (540 normal, 67 PPG, and 521 glaucomatous) were included. Participants underwent free blood tests at the internal medicine clinic to retrieve systemic data. Patients with glaucoma were grouped by disease severity, defined by glaucomatous visual field mean defect, including early-(224 eyes), moderate-(103 eyes), and late-stage glaucoma (194 eyes), and further divided into advanced (158 eyes) and terminal glaucoma (36 eyes). Macular VD, peripapillary VD, circumpapillary retinal nerve fiber layer (cpRNFL) thickness, and ganglion cell complex (GCC) thickness were evaluated and divided into superior and inferior parts. One-way analysis of variance was performed, followed by Tukey’s post-hoc test. The peripapillary VD was significantly different between the healthy and PPG groups and the early-, moderate-, and late-stage glaucoma subgroups (all p < 0.001). Peripapillary VD measurements are helpful in differentiating the various stages of glaucoma even in patients with myopic glaucoma.

【 授权许可】

Unknown