Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients
Purpose To determine changes of visual-field (VF) global indices after cataract surgery and the factors associated with the effect of cataracts on those indices in primary open-angle glaucoma (POAG) patients. Methods A retrospective chart review of 60 POAG patients who had undergone phacoemulsificat...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2016-11, Vol.60 (6), p.439-445 |
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| creator | Seol, Bo Ram Jeoung, Jin Wook Park, Ki Ho |
| description | Purpose
To determine changes of visual-field (VF) global indices after cataract surgery and the factors associated with the effect of cataracts on those indices in primary open-angle glaucoma (POAG) patients.
Methods
A retrospective chart review of 60 POAG patients who had undergone phacoemulsification and intraocular lens insertion was conducted. All of the patients were evaluated with standard automated perimetry (SAP; 30-2 Swedish interactive threshold algorithm; Carl Zeiss Meditec Inc.) before and after surgery. VF global indices before surgery were compared with those after surgery. The best-corrected visual acuity, intraocular pressure (IOP), number of glaucoma medications before surgery, mean total deviation (TD) values, mean pattern deviation (PD) value, and mean TD–PD value were also compared with the corresponding postoperative values. Additionally, postoperative peak IOP and mean IOP were evaluated. Univariate and multivariate logistic regression analyses were performed to identify the factors associated with the effect of cataract on global indices.
Results
Mean deviation (MD) after cataract surgery was significantly improved compared with the preoperative MD. Pattern standard deviation (PSD) and visual-field index (VFI) after surgery were similar to those before surgery. Also, mean TD and mean TD–PD were significantly improved after surgery. The posterior subcapsular cataract (PSC) type showed greater MD changes than did the non-PSC type in both the univariate and multivariate logistic regression analyses. In the univariate logistic regression analysis, the preoperative TD–PD value and type of cataract were associated with MD change. However, in the multivariate logistic regression analysis, type of cataract was the only associated factor. None of the other factors was associated with MD change.
Conclusions
MD was significantly affected by cataracts, whereas PSD and VFI were not. Most notably, the PSC type showed better MD improvement compared with the non-PSC type after cataract surgery. Clinicians therefore should carefully analyze VF examination results for POAG patients with the PSC type. |
| doi_str_mv | 10.1007/s10384-016-0467-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835518361</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835518361</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-bca35f229e9b0df2bf502dbf3b650e14bb66d6fbb301af37f962cd18a7d69d713</originalsourceid><addsrcrecordid>eNp1kUtLAzEUhYMotlZ_gBsZcOMmepNMMjNLKb6g4EbXIc86ZV4mM4L_3pRWEcFNEjjfOUnuQeicwDUBKG4iAVbmGIjAkIsClwdoTgRhmNJcHKI5ACWYE85n6CTGDQDklNFjNKMFB5YDzJFbvqlu7WLW--yjjpNqsK9dY7N102vVZHVna5Nk5UcXMqNGFZQZsziFtQufSc6GULcqHfvBdThlNS551WT6VmWDGmvXjfEUHXnVRHe23xfo9f7uZfmIV88PT8vbFTasEiPWRjHuKa1cpcF6qj0HarVnWnBwJNdaCCu81gyI8qzwlaDGklIVVlS2IGyBrna5Q-jfJxdH2dbRuKZRneunKEnJOE-L2KKXf9BNP4UuvW5LQUkrKKpEkR1lQh9jcF7uvysJyG0HcteBTB3IbQeyTJ6LffKkW2d_HN9DTwDdATFJafjh19X_pn4BZTySbg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1830829079</pqid></control><display><type>article</type><title>Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Seol, Bo Ram ; Jeoung, Jin Wook ; Park, Ki Ho</creator><creatorcontrib>Seol, Bo Ram ; Jeoung, Jin Wook ; Park, Ki Ho</creatorcontrib><description>Purpose
To determine changes of visual-field (VF) global indices after cataract surgery and the factors associated with the effect of cataracts on those indices in primary open-angle glaucoma (POAG) patients.
Methods
A retrospective chart review of 60 POAG patients who had undergone phacoemulsification and intraocular lens insertion was conducted. All of the patients were evaluated with standard automated perimetry (SAP; 30-2 Swedish interactive threshold algorithm; Carl Zeiss Meditec Inc.) before and after surgery. VF global indices before surgery were compared with those after surgery. The best-corrected visual acuity, intraocular pressure (IOP), number of glaucoma medications before surgery, mean total deviation (TD) values, mean pattern deviation (PD) value, and mean TD–PD value were also compared with the corresponding postoperative values. Additionally, postoperative peak IOP and mean IOP were evaluated. Univariate and multivariate logistic regression analyses were performed to identify the factors associated with the effect of cataract on global indices.
Results
Mean deviation (MD) after cataract surgery was significantly improved compared with the preoperative MD. Pattern standard deviation (PSD) and visual-field index (VFI) after surgery were similar to those before surgery. Also, mean TD and mean TD–PD were significantly improved after surgery. The posterior subcapsular cataract (PSC) type showed greater MD changes than did the non-PSC type in both the univariate and multivariate logistic regression analyses. In the univariate logistic regression analysis, the preoperative TD–PD value and type of cataract were associated with MD change. However, in the multivariate logistic regression analysis, type of cataract was the only associated factor. None of the other factors was associated with MD change.
Conclusions
MD was significantly affected by cataracts, whereas PSD and VFI were not. Most notably, the PSC type showed better MD improvement compared with the non-PSC type after cataract surgery. Clinicians therefore should carefully analyze VF examination results for POAG patients with the PSC type.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-016-0467-8</identifier><identifier>PMID: 27503400</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Cataract - complications ; Clinical Investigation ; Female ; Follow-Up Studies ; Glaucoma ; Glaucoma, Open-Angle - complications ; Glaucoma, Open-Angle - physiopathology ; Humans ; Intraocular Pressure - physiology ; Male ; Medicine ; Medicine & Public Health ; Ophthalmology ; Phacoemulsification ; Retrospective Studies ; Treatment Outcome ; Visual Acuity ; Visual Fields</subject><ispartof>Japanese journal of ophthalmology, 2016-11, Vol.60 (6), p.439-445</ispartof><rights>Japanese Ophthalmological Society 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-bca35f229e9b0df2bf502dbf3b650e14bb66d6fbb301af37f962cd18a7d69d713</citedby><cites>FETCH-LOGICAL-c396t-bca35f229e9b0df2bf502dbf3b650e14bb66d6fbb301af37f962cd18a7d69d713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-016-0467-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-016-0467-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27503400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seol, Bo Ram</creatorcontrib><creatorcontrib>Jeoung, Jin Wook</creatorcontrib><creatorcontrib>Park, Ki Ho</creatorcontrib><title>Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To determine changes of visual-field (VF) global indices after cataract surgery and the factors associated with the effect of cataracts on those indices in primary open-angle glaucoma (POAG) patients.
Methods
A retrospective chart review of 60 POAG patients who had undergone phacoemulsification and intraocular lens insertion was conducted. All of the patients were evaluated with standard automated perimetry (SAP; 30-2 Swedish interactive threshold algorithm; Carl Zeiss Meditec Inc.) before and after surgery. VF global indices before surgery were compared with those after surgery. The best-corrected visual acuity, intraocular pressure (IOP), number of glaucoma medications before surgery, mean total deviation (TD) values, mean pattern deviation (PD) value, and mean TD–PD value were also compared with the corresponding postoperative values. Additionally, postoperative peak IOP and mean IOP were evaluated. Univariate and multivariate logistic regression analyses were performed to identify the factors associated with the effect of cataract on global indices.
Results
Mean deviation (MD) after cataract surgery was significantly improved compared with the preoperative MD. Pattern standard deviation (PSD) and visual-field index (VFI) after surgery were similar to those before surgery. Also, mean TD and mean TD–PD were significantly improved after surgery. The posterior subcapsular cataract (PSC) type showed greater MD changes than did the non-PSC type in both the univariate and multivariate logistic regression analyses. In the univariate logistic regression analysis, the preoperative TD–PD value and type of cataract were associated with MD change. However, in the multivariate logistic regression analysis, type of cataract was the only associated factor. None of the other factors was associated with MD change.
Conclusions
MD was significantly affected by cataracts, whereas PSD and VFI were not. Most notably, the PSC type showed better MD improvement compared with the non-PSC type after cataract surgery. Clinicians therefore should carefully analyze VF examination results for POAG patients with the PSC type.</description><subject>Aged</subject><subject>Cataract - complications</subject><subject>Clinical Investigation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glaucoma</subject><subject>Glaucoma, Open-Angle - complications</subject><subject>Glaucoma, Open-Angle - physiopathology</subject><subject>Humans</subject><subject>Intraocular Pressure - physiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Phacoemulsification</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>Visual Fields</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtLAzEUhYMotlZ_gBsZcOMmepNMMjNLKb6g4EbXIc86ZV4mM4L_3pRWEcFNEjjfOUnuQeicwDUBKG4iAVbmGIjAkIsClwdoTgRhmNJcHKI5ACWYE85n6CTGDQDklNFjNKMFB5YDzJFbvqlu7WLW--yjjpNqsK9dY7N102vVZHVna5Nk5UcXMqNGFZQZsziFtQufSc6GULcqHfvBdThlNS551WT6VmWDGmvXjfEUHXnVRHe23xfo9f7uZfmIV88PT8vbFTasEiPWRjHuKa1cpcF6qj0HarVnWnBwJNdaCCu81gyI8qzwlaDGklIVVlS2IGyBrna5Q-jfJxdH2dbRuKZRneunKEnJOE-L2KKXf9BNP4UuvW5LQUkrKKpEkR1lQh9jcF7uvysJyG0HcteBTB3IbQeyTJ6LffKkW2d_HN9DTwDdATFJafjh19X_pn4BZTySbg</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Seol, Bo Ram</creator><creator>Jeoung, Jin Wook</creator><creator>Park, Ki Ho</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients</title><author>Seol, Bo Ram ; Jeoung, Jin Wook ; Park, Ki Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-bca35f229e9b0df2bf502dbf3b650e14bb66d6fbb301af37f962cd18a7d69d713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Cataract - complications</topic><topic>Clinical Investigation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glaucoma</topic><topic>Glaucoma, Open-Angle - complications</topic><topic>Glaucoma, Open-Angle - physiopathology</topic><topic>Humans</topic><topic>Intraocular Pressure - physiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Phacoemulsification</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Visual Fields</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seol, Bo Ram</creatorcontrib><creatorcontrib>Jeoung, Jin Wook</creatorcontrib><creatorcontrib>Park, Ki Ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seol, Bo Ram</au><au>Jeoung, Jin Wook</au><au>Park, Ki Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>60</volume><issue>6</issue><spage>439</spage><epage>445</epage><pages>439-445</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose
To determine changes of visual-field (VF) global indices after cataract surgery and the factors associated with the effect of cataracts on those indices in primary open-angle glaucoma (POAG) patients.
Methods
A retrospective chart review of 60 POAG patients who had undergone phacoemulsification and intraocular lens insertion was conducted. All of the patients were evaluated with standard automated perimetry (SAP; 30-2 Swedish interactive threshold algorithm; Carl Zeiss Meditec Inc.) before and after surgery. VF global indices before surgery were compared with those after surgery. The best-corrected visual acuity, intraocular pressure (IOP), number of glaucoma medications before surgery, mean total deviation (TD) values, mean pattern deviation (PD) value, and mean TD–PD value were also compared with the corresponding postoperative values. Additionally, postoperative peak IOP and mean IOP were evaluated. Univariate and multivariate logistic regression analyses were performed to identify the factors associated with the effect of cataract on global indices.
Results
Mean deviation (MD) after cataract surgery was significantly improved compared with the preoperative MD. Pattern standard deviation (PSD) and visual-field index (VFI) after surgery were similar to those before surgery. Also, mean TD and mean TD–PD were significantly improved after surgery. The posterior subcapsular cataract (PSC) type showed greater MD changes than did the non-PSC type in both the univariate and multivariate logistic regression analyses. In the univariate logistic regression analysis, the preoperative TD–PD value and type of cataract were associated with MD change. However, in the multivariate logistic regression analysis, type of cataract was the only associated factor. None of the other factors was associated with MD change.
Conclusions
MD was significantly affected by cataracts, whereas PSD and VFI were not. Most notably, the PSC type showed better MD improvement compared with the non-PSC type after cataract surgery. Clinicians therefore should carefully analyze VF examination results for POAG patients with the PSC type.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27503400</pmid><doi>10.1007/s10384-016-0467-8</doi><tpages>7</tpages></addata></record> |
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| ispartof | Japanese journal of ophthalmology, 2016-11, Vol.60 (6), p.439-445 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Cataract - complications Clinical Investigation Female Follow-Up Studies Glaucoma Glaucoma, Open-Angle - complications Glaucoma, Open-Angle - physiopathology Humans Intraocular Pressure - physiology Male Medicine Medicine & Public Health Ophthalmology Phacoemulsification Retrospective Studies Treatment Outcome Visual Acuity Visual Fields |
| title | Changes of visual-field global indices after cataract surgery in primary open-angle glaucoma patients |
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