[A comparative study of visual field damage in low-tension and primary open-angle glaucoma]. 1993

J Yamagami, and M Araie, and Y Suzuki, and S Shirato, and N Koseki
Eye Clinic, JR Tokyo General Hospital, Shibuya-ku, Japan.

We compared the results of visual field examination obtained with a Humphrey 30-2 program between 57 eyes of 57 low-tension glaucoma (LTG) and 57 eyes of 57 primary open-angle glaucoma (POAG; max IOP > or = 25 mmHg) cases, whose mean deviation (MD) given by STATPAC was > -10 dB. MD, age, and refraction showed no differences between the two groups. Corrected pattern standard deviation (CPSD) was significantly higher in the LTG group (p < 0.01). The total deviation (TD), deviation from the age-corrected normal reference, was found to be significantly lower by about 5 dB in the LTG group at two test points nasal-superior to the fixation point (Wilcoxon rank sum test, p < 0.01). Logistic discriminant analysis carried out to exclude a subtle difference in the distribution of the stage of disease between the two groups confirmed a significant between-group difference at the above-mentioned points. Furthermore, to compare the unevenness of visual field in the two groups, [TD-mean TD] was calculated, where mean TD was the average of 70 points of TD excluding the uppermost four points, and the same two points obtained above were found to decrease significantly in LTG, while all points were diffusely damaged in POAG. These results may imply a difference in the mechanism of visual field damage between LTG and POAG.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005901 Glaucoma An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed) Glaucomas
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D014794 Visual Fields The total area or space visible in a person's peripheral vision with the eye looking straightforward. Field, Visual,Fields, Visual,Visual Field
D016002 Discriminant Analysis A statistical analytic technique used with discrete dependent variables, concerned with separating sets of observed values and allocating new values. It is sometimes used instead of regression analysis. Analyses, Discriminant,Analysis, Discriminant,Discriminant Analyses

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