One year structural and functional glaucoma progression after trabeculectomy.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
18 02 2020
Historique:
received: 04 09 2019
accepted: 04 02 2020
entrez: 20 2 2020
pubmed: 20 2 2020
medline: 20 11 2020
Statut: epublish

Résumé

We evaluated the changes in visual field mean deviation (VF MD) and retinal nerve fibre layer (RNFL) thickness in glaucoma patients undergoing trabeculectomy. One hundred patients were examined with VF and spectral-domain optical coherence tomography (OCT) before trabeculectomy and 4 follow-up visits over one year. Linear mixed models were used to investigate factors associated with VF and RNFL. VF improved during the first 3 months of follow-up (2.55 ± 1.06 dB/year) and worsened at later visits (-1.14 ± 0.29 dB/year). RNFL thickness reduced by -4.21 ± 0.25 µm/year from 1st month of follow-up. Eyes with an absence of initial VF improvement (β = 0.64; 0.30-0.98), RNFL thinning (β = 0.15; 0.08-0.23), increasing intraocular pressure (IOP; β = -0.11; -0.18 to -0.03) and severe glaucoma (β = -10.82; -13.61 to -8.02) were associated with VF deterioration. Eyes with VF deterioration (β = 0.19; 0.08-0.29), increasing IOP (β = -0.09; -0.17 to -0.01), and moderate (β = -6.33; -12.17 to -0.49) or severe glaucoma (β = -19.58; -24.63 to -14.52) were associated with RNFL thinning. Changes in RNFL structure and function occur over a 1-year follow-up period after trabeculectomy. Early VF improvement is more likely to occur in patients with mild/moderate glaucoma, whereas those with severe glaucoma show greater decline over one year. Our findings indicate that progression is observable using OCT, even in late-stage glaucoma.

Identifiants

pubmed: 32071369
doi: 10.1038/s41598-020-59792-9
pii: 10.1038/s41598-020-59792-9
pmc: PMC7029027
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2808

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Auteurs

Jacqueline Chua (J)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.

Aistė Kadziauskienė (A)

Clinic of Ears, Nose, Throat and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Department of Eye Diseases, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Damon Wong (D)

SERI-NTU Advanced Ocular Engineering (STANCE) Program, Singapore, Singapore.
Department of Ophthalmology, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

Rimvydas Ašoklis (R)

Clinic of Ears, Nose, Throat and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Department of Eye Diseases, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Eugenijus Lesinskas (E)

Clinic of Ears, Nose, Throat and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Department of Eye Diseases, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Nguyen Duc Quang (ND)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.

Rachel Chong (R)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.

Bingyao Tan (B)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
SERI-NTU Advanced Ocular Engineering (STANCE) Program, Singapore, Singapore.

Michaël J A Girard (MJA)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Ophthalmic Engineering & Innovation Laboratory, Department of Biomedical Engineering, National University of Singapore, Singapore, Singapore.

Jean Martial Mari (JM)

GePaSud Laboratory, University of French Polynesia, Tahiti, French Polynesia.

Jonathan G Crowston (JG)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.

Tin Aung (T)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Leopold Schmetterer (L)

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. leopold.schmetterer@seri.com.sg.
Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore. leopold.schmetterer@seri.com.sg.
Department of Ophthalmology, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. leopold.schmetterer@seri.com.sg.
Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria. leopold.schmetterer@seri.com.sg.
Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria. leopold.schmetterer@seri.com.sg.

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