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[A comparative study of optic nerve damage between primary open angle glaucoma and normal tension glaucoma]. 2005

Cui-ran Xia, and Liang Xu, and Ye Yang
Tongren Ophthamic Center, Capital University of Medical Sciences, Beijing 100730, China. xiacuiran@tom.com

OBJECTIVE To investigate the differences in the characteristics of optic nerve damage in patients with primary open angle glaucoma (POAG)and normal tension glaucoma (NTG). METHODS The optic disc parameters and retinal nerve fiber layer (RNFL) of 47 eyes of 39 subjects with POAG (IOP > 24 mmHg) and 38 eyes of 32 subjects with NTG (IOP < 21 mmHg) were measured by using a Heidelberg retina tomograph II, color stereo-optic disc photographs, and an Octopus automated perimetry. RESULTS (1) Rim area, rim/disc area ratios and three sectors except temporal quadrant of optic disc were significantly smaller, whereas C/D was significantly larger in patients with NTG than those of POAG. The mean RNFL thickness and RNFL cross-sectional areas at temporal/interior and temporal/superior in those with NTG were significantly (P < 0.05) smaller than those of POAG. The rim volume was significantly (P < 0.05) smaller and mean cup depth was significantly (P < 0.05) larger in patients with NTG than POAG. (2) The defect types of RNFL: RNFL diffuse loss and local defect ratio were 53.19% and 4.26% in POAG, respectively; while were 21.05% and 55.26% in NTG, respectively. The difference between the proportions of the defect type of RNFL in patients with POAG and those of NTG is statistically significant (P < 0.01). CONCLUSIONS Our results demonstrate that the varieties of C/D area ratio, rim area, RNFL thickness, and defect types of RNFL with NTG and POAG indicate that the different mechanisms are involved in optic nerve damage in the two types of glaucoma.

UI MeSH Term Description Entries
D007429 Intraocular Pressure The pressure of the fluids in the eye. Ocular Tension,Intraocular Pressures,Ocular Tensions,Pressure, Intraocular,Pressures, Intraocular,Tension, Ocular,Tensions, Ocular
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009798 Ocular Hypertension A condition in which the intraocular pressure is elevated above normal and which may lead to glaucoma. Glaucoma, Suspect,Hypertension, Ocular,Glaucomas, Suspect,Hypertensions, Ocular,Ocular Hypertensions,Suspect Glaucoma,Suspect Glaucomas
D009898 Optic Disk The portion of the optic nerve seen in the fundus with the ophthalmoscope. It is formed by the meeting of all the retinal ganglion cell axons as they enter the optic nerve. Blind Spot,Optic Disc,Optic Nerve Head,Optic Papilla,Blind Spots,Disc, Optic,Disk, Optic,Head, Optic Nerve,Nerve Head, Optic,Optic Discs,Optic Disks,Optic Nerve Heads,Optic Papillas,Papilla, Optic,Papillas, Optic,Spot, Blind
D009900 Optic Nerve The 2nd cranial nerve which conveys visual information from the RETINA to the brain. The nerve carries the axons of the RETINAL GANGLION CELLS which sort at the OPTIC CHIASM and continue via the OPTIC TRACTS to the brain. The largest projection is to the lateral geniculate nuclei; other targets include the SUPERIOR COLLICULI and the SUPRACHIASMATIC NUCLEI. Though known as the second cranial nerve, it is considered part of the CENTRAL NERVOUS SYSTEM. Cranial Nerve II,Second Cranial Nerve,Nervus Opticus,Cranial Nerve, Second,Cranial Nerves, Second,Nerve, Optic,Nerve, Second Cranial,Nerves, Optic,Nerves, Second Cranial,Optic Nerves,Second Cranial Nerves
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D012160 Retina The ten-layered nervous tissue membrane of the eye. It is continuous with the OPTIC NERVE and receives images of external objects and transmits visual impulses to the brain. Its outer surface is in contact with the CHOROID and the inner surface with the VITREOUS BODY. The outer-most layer is pigmented, whereas the inner nine layers are transparent. Ora Serrata
D005260 Female Females
D005902 Glaucoma, Open-Angle Glaucoma in which the angle of the anterior chamber is open and the trabecular meshwork does not encroach on the base of the iris. Glaucoma Simplex,Glaucoma, Pigmentary,Glaucoma, Simple,Open-Angle Glaucoma,Chronic Primary Open Angle Glaucoma,Glaucoma, Compensated,Glaucoma, Compensative,Glaucoma, Open Angle,Glaucoma, Primary Open Angle,Glaucoma, Secondary Open Angle,Primary Open Angle Glaucoma,Secondary Open Angle Glaucoma,Compensated Glaucoma,Compensative Glaucoma,Open Angle Glaucoma,Open Angle Glaucomas,Open-Angle Glaucomas,Pigmentary Glaucoma,Simple Glaucoma,Simplex, Glaucoma,Simplices, Glaucoma

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