Journal of the Korean Ophthalmological Society 2002;43(11):2186-2195.
Published online November 1, 2002.
Clinical Course of the Eyes with Retinal Nerve Fiber Layer Defect and Normal Visual Field.
Cheol Kim, Ki Ho Park, Dong Myung Kim
1Department of Ophthalmology, Seoul National University College of Medicine, Korea. kihopark@snu.ac.kr
2Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Korea.
정상시야에 망막신경층섬유결손이 있는 눈의 임상경과
김철 ( Cheol Kim ) , 박기호 ( Ki Ho Park ) , 김동명 ( Dong Myung Kim )
Abstract
PURPOSE
To investigate the clinical course of eye with retinal nerve fiber layer (RNFL) defect without visual field (VF) defect, and to assess the risk factors for the progression of RNFL defect and the development of VF defect. METHODS: We performed retrospective chart review of the patients who had had RNFL photography and Humphrey visual field test. The seventy six eyes of 76 patients showed RNFL defect with normal VF. RESULTS: The average follow-up period was 36.6 months. Among the 76 eyes, 64 eyes (84%) showed neither the progression of RNFL defect nor the development of VF defect. Six eyes (8%) showed progression of RNFL defect without VF deterioration and 4 eyes (5%) showed development of VF defect without progression of RNFL defect. Two eyes (3%) showed both progression of RNFL defect and development of VF defect. The progression of RNFL defect was significantly related to the disc hemorrhage and the number of anti-glaucoma medications and less significantly to intraocular pressure (IOP) fluctuation (p=0.051). The development of VF defect was related to the number of anti-glaucoma medications. CONCLUSIONS: The majority (84%) of eyes with RNFL defect but normal VF did not show any sign of glaucomatous progression for average 36.6 months. The VF defect developed in 8% and the RNFL defect progressed in 11%. The factors related to progression of RNFL defect were the disc hemorrhage, the number of anti-glaucoma medications and IOP fluctuation. The factors related to the development of VF defect was the number of anti-glaucoma medications.
Key Words: Disc hemorrhage;Glaucoma;Retinal nerve fiber layer defect;Visual field defect


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2024 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next