Influence of Acute or Subacute Attack on Peripapillary Atrophy in Primary Angle-closure Glaucoma.

Kim, Sung Jin; Uhm, Ki Bang; Hong, Chul

Original Article

Journal of the Korean Ophthalmological Society 2001;42(10):1415-1420.
Published online October 1, 2001.

Influence of Acute or Subacute Attack on Peripapillary Atrophy in Primary Angle-closure Glaucoma.

¹Department of Ophthalmology, College of Medicine, Hanyang University, Seoul, Korea.
²Glaucoma Service, Dr. Hong's Eye Clinic.

원발폐쇄각녹내장에서 급성 또는 아급성 발작이 유두주위위축에 미치는 영향

김성진(Sung Jin Kim),엄기방(Ki Bang Uhm),홍철(Chul Hong)

Abstract

PURPOSE
To determine whether acute or subacute attack influences the peripapillary atrophy in patients with primary angle-closure glaucoma (PACG). METHODS: Thirty-three eyes with PACG that had an acute or subacute attack (symptomatic PACG group) and 30 eyes with chronic PACG that had no attack (asymptomatic chronic PACG group) were studied. The rim/disc area ratio were matched in both groups. There were no statistically significant differences in the age, sex, refractive error, optic disc area, and visual field mean deviation between the two groups. RESULTS: Nineteen of 33 eyes (57.6%) with symptomatic PACG group and 20 of 30 eyes (66.7%) with asymptomatic chronic PACG group had zone beta. The mean zone beta/disc area ratio was 0.31 in symptomatic PACG group and was 0.52 in asymptomatic chronic PACG group. There were no statistically significant differences regarding the prevalence of zone beta (P=0.63) and the zone beta/disc area ratio (P=0.09) between the two groups. CONCLUSIONS: These findings suggest that the peripapillary atrophy in PACG is almost independent of acute or subacute attack.

Key Words: Attack;Peripapillary atrophy;Primary angle-closure glaucoma