Interocular difference in progression of glaucoma correlates with interocular differences in retrobulbar circulation

PURPOSE: To evaluate the correlation between interocular difference in progression of glaucomatous damage and interocular differences in retrobulbar blood flow. METHODS: On the basis of a retrospective analysis of visual fields, progressive damage was identified in 20 patients with primary open-angl...

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Veröffentlicht in:American journal of ophthalmology 2000-06, Vol.129 (6), p.728-733
Hauptverfasser: Schumann, Joerg, Orgül, Selim, Gugleta, Konstantin, Dubler, Barbara, Flammer, Josef
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container_end_page 733
container_issue 6
container_start_page 728
container_title American journal of ophthalmology
container_volume 129
creator Schumann, Joerg
Orgül, Selim
Gugleta, Konstantin
Dubler, Barbara
Flammer, Josef
description PURPOSE: To evaluate the correlation between interocular difference in progression of glaucomatous damage and interocular differences in retrobulbar blood flow. METHODS: On the basis of a retrospective analysis of visual fields, progressive damage was identified in 20 patients with primary open-angle glaucoma. As a parameter of interocular difference in progression of visual field damage, the angle (gamma) between the regression lines of the visual field index mean defect over time per eye was calculated for each subject. The relationship between the angle gamma and interocular differences in intraocular pressure and retrobulbar color Doppler imaging parameters was analyzed by a multiple linear regression analysis in a stepwise forward approach. RESULTS: With larger interocular differences in progression of glaucomatous damage, lower mean blood flow velocities in the ophthalmic artery (partial r = −.69; P < .0016), higher resistivity indices in the central retinal artery (partial r = .48; P < .0456), and higher peak systolic velocities in the ophthalmic artery (partial r = .52; P < .0285) were noted in the eyes with more marked progression of damage (multiple r = .71; P < .0099). Interocular differences in progression of visual field damage were not related to intraocular pressure or extent of visual field damage. CONCLUSION: Independent of the extent of the interocular difference in glaucomatous damage and intraocular pressure, interocular difference in progression of glaucomatous visual field damage correlates with interocular difference in retrobulbar hemodynamic parameters.
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METHODS: On the basis of a retrospective analysis of visual fields, progressive damage was identified in 20 patients with primary open-angle glaucoma. As a parameter of interocular difference in progression of visual field damage, the angle (gamma) between the regression lines of the visual field index mean defect over time per eye was calculated for each subject. The relationship between the angle gamma and interocular differences in intraocular pressure and retrobulbar color Doppler imaging parameters was analyzed by a multiple linear regression analysis in a stepwise forward approach. RESULTS: With larger interocular differences in progression of glaucomatous damage, lower mean blood flow velocities in the ophthalmic artery (partial r = −.69; P &lt; .0016), higher resistivity indices in the central retinal artery (partial r = .48; P &lt; .0456), and higher peak systolic velocities in the ophthalmic artery (partial r = .52; P &lt; .0285) were noted in the eyes with more marked progression of damage (multiple r = .71; P &lt; .0099). Interocular differences in progression of visual field damage were not related to intraocular pressure or extent of visual field damage. 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RESULTS: With larger interocular differences in progression of glaucomatous damage, lower mean blood flow velocities in the ophthalmic artery (partial r = −.69; P &lt; .0016), higher resistivity indices in the central retinal artery (partial r = .48; P &lt; .0456), and higher peak systolic velocities in the ophthalmic artery (partial r = .52; P &lt; .0285) were noted in the eyes with more marked progression of damage (multiple r = .71; P &lt; .0099). Interocular differences in progression of visual field damage were not related to intraocular pressure or extent of visual field damage. 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RESULTS: With larger interocular differences in progression of glaucomatous damage, lower mean blood flow velocities in the ophthalmic artery (partial r = −.69; P &lt; .0016), higher resistivity indices in the central retinal artery (partial r = .48; P &lt; .0456), and higher peak systolic velocities in the ophthalmic artery (partial r = .52; P &lt; .0285) were noted in the eyes with more marked progression of damage (multiple r = .71; P &lt; .0099). Interocular differences in progression of visual field damage were not related to intraocular pressure or extent of visual field damage. 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subjects Biological and medical sciences
Blood Circulation
Blood Flow Velocity
Disease Progression
Eye - diagnostic imaging
Eye - physiopathology
Glaucoma and intraocular pressure
Glaucoma, Open-Angle - diagnostic imaging
Glaucoma, Open-Angle - physiopathology
Humans
Intraocular Pressure
Medical sciences
Middle Aged
Ophthalmic Artery - diagnostic imaging
Ophthalmic Artery - physiopathology
Ophthalmology
Orbit - blood supply
Orbit - diagnostic imaging
Retinal Artery - diagnostic imaging
Retinal Artery - physiopathology
Ultrasonography, Doppler, Color
Vision Disorders - physiopathology
Visual Fields
title Interocular difference in progression of glaucoma correlates with interocular differences in retrobulbar circulation
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