Association between Glaucoma Progression in Macular Ganglion Cell Complex and Disc Hemorrhage: Differences between Superior and Inferior Hemiretinas
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. GCC Thickness Changes
3.3. TD Changes
4. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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No DH (n = 28) | DH (n = 32) | p-Value, between Groups | |
---|---|---|---|
Age (year) | 67.9 ± 8.1 | 68.1 ± 10.3 | 0.92 |
Gender (Male/Female) | 16/12 | 17/15 | 0.76 * |
Right/left eye | 16/12 | 16/16 | 0.58 * |
Number of visits with DH in superior/inferior half of the disc † | 0/0 | 0.7 ± 1.3/1.5 ± 1.8 | NA |
p-Value, between hemiretinas | NA | 0.047 ‡ | |
Spherical equivalent (D) | −2.8 ± 2.8 | −1.9 ± 3.0 | 0.25 |
Axial length (mm) | 24.6 ± 1.2 | 24.1 ± 1.1 | 0.11 |
IOP before treatment (mmHg) | 14.7 ± 2.8 | 14.5 ± 2.5 | 0.80 |
IOP at the beginning of the study period (mmHg) | 12.1 ± 2.4 | 12.4 ± 1.8 | 0.51 |
Mean IOP § (mmHg) | 11.7 ± 1.9 | 11.7 ± 1.5 | 0.85 |
Mean IOP reduction § (%) | 18.6 ± 13.9 | 18.3 ± 11.0 | 0.91 |
SD of IOP § (mmHg) | 1.35 ± 0.35 | 1.35 ± 0.30 | 0.93 |
Medication score at the beginning of the study period | 0.82 ± 0.77 | 1.16 ± 0.88 | 0.13 † |
Medication score at the end of the study period | 0.82 ± 0.67 | 1.03 ± 0.93 | 0.49 † |
Baseline MD (dB) | −3.6 ± 4.1 | −3.5 ± 3.4 | 0.82 † |
Number of OCT measurements † | 5.4 ± 1.1 | 6.9 ± 2.2 | 0.002 † || |
Number of VF measurements † | 7.7 ± 1.2 | 9.0 ± 3.0 | 0.13 † |
DH | No DH (n = 28) Coef *, p-Value | DH (n = 32) Coef *, p-Value | †p-Value, between Groups | ‡p-Value, Effect of Number of Visits with DH, between Groups | |
---|---|---|---|---|---|
Both hemi-retinas combined | + | −1.04 ± 0.19, p < 0.001 (n = 35) | 0.007 § | <0.001 § | |
− | −0.48 ± 0.11, p < 0.001 (n = 56) | −0.36 ± 0.16, p = 0.028 (n = 29) | 0.400 | NA | |
Superior hemiretina | + | −1.11 ± 0.32, p = 0.001 (n = 13) | 0.014 § | 0.017 § | |
− | −0.51 ± 0.13, p < 0.001 (n = 28) | −0.52 ± 0.22, p = 0.016 (n = 19) | 0.951 | NA | |
Inferior hemiretina | + | −0.95 ± 0.23, p < 0.001 (n = 22) | 0.097 | 0.001 § | |
− | −0.45 ± 0.18, p = 0.013 (n = 28) | −0.02 ± 0.18, p = 0.915 (n = 10) | 0.143 | NA | |
Superior outer sector | + | −1.26 ± 0.36, p = 0.001 (n = 13) | 0.018 § | 0.021 § | |
− | −0.62 ± 0.14, p < 0.001 (n = 28) | −0.65 ± 0.25, p = 0.009 (n = 19) | 0.919 | NA | |
Superior inner sector | + | −1.16 ± 0.32, p < 0.001 (n = 13) | 0.051 | 0.125 | |
− | −0.64 ± 0.14, p < 0.001 (n = 28) | −0.54 ± 0.18, p = 0.003 (n = 19) | 0.615 | NA | |
Inferior outer sector | + | −0.67 ± 0.22, p = 0.003 (n = 22) | 0.668 | 0.041 § | |
− | −0.51 ± 0.22, p = 0.018 (n = 28) | 0.10 ± 0.19, p = 0.616 (n = 10) | 0.073 | NA | |
Inferior inner sector | + | −1.76 ± 0.37, p < 0.001 (n = 22) | 0.001 § | <0.001 § | |
− | −0.36 ± 0.15, p = 0.019 (n = 28) | 0.31 ± 0.29, p = 0.291 (n = 10) | 0.650 | NA |
DH | Coef *, p-Value | †p-Value, DH+ vs. DH− Hemi-Retinas | ‡p-Value, Effect of Number of Visits with DH | |
---|---|---|---|---|
Both hemiretinas combined | + (n = 35) | −1.04 ± 0.19, p < 0.001 | 0.004 § | <0.001 § |
− (n = 29) | −0.36 ± 0.16, p = 0.028 | |||
Superior hemiretina | + (n = 13) | −1.11 ± 0.32, p = 0.001 | 0.035 | 0.063 |
− (n = 19) | −0.52 ± 0.22, p = 0.016 | |||
Inferior hemiretina | + (n = 22) | −0.95 ± 0.23, p < 0.001 | 0.015 | <0.001 § |
− (n = 10) | −0.02 ± 0.18, p = 0.915 | |||
p-value, between hemiretinas (DH+) | 0.383 | |||
p-value, between hemiretinas (DH−) | 0.133 | |||
Superior outer sector | + (n = 13) | −1.26 ± 0.36, p = 0.001 | 0.075 | 0.088 |
− (n = 19) | −0.65 ± 0.25, p = 0.009 | |||
Superior inner sector | + (n = 13) | −1.16 ± 0.32, p < 0.001 | 0.050 | 0.137 |
− (n = 19) | −0.54 ± 0.18, p = 0.003 | |||
Inferior outer sector | + (n = 22) | −0.67 ± 0.22, p = 0.003 | 0.032 | <0.001 § |
− (n = 10) | 0.10 ± 0.19, p = 0.616 | |||
Inferior inner sector | + (n = 22) | −1.76 ± 0.37, p < 0.001 | 0.030 | 0.001 § |
− (n = 10) | −0.31 ± 0.29, p = 0.291 |
DH | No DH (n = 28) Coef *, p-Value | DH (n = 32) Coef *, p-Value | †p-Value, between Groups | ‡p-Value, Effect of Number of Visits with DH, between Groups | |
---|---|---|---|---|---|
Both hemifieldscombined | + | −0.44 ± 0.11, p < 0.001 (n = 35) | 0.005 § | 0.138 | |
− | −0.11 ± 0.06, p = 0.06 (n = 56) | −0.27 ± 0.07, p < 0.001 (n = 29) | 0.112 | NA | |
Superior hemifield | + | −0.51 ± 0.16, p = 0.001 (n = 22) | 0.008 § | 0.052 | |
− | −0.07 ± 0.08, p = 0.038 (n = 28) | −0.20 ± 0.18, p = 0.258 (n = 10) | 0.527 | NA | |
Inferior hemifield | + | −0.30 ± 0.14, p = 0.031 (n = 13) | 0.318 | 0.336 | |
- | −0.16 ± 0.09, p = 0.061 (n = 28) | −0.29 ± 0.07, p < 0.001 (n = 19) | 0.251 | NA |
DH | Coef *, p-Value | †p-Value, DH+ vs. DH− Hemi-Fields | ‡p-Value, Effect of Number of Visits with DH | |
---|---|---|---|---|
Both hemifields combined | + (n = 35) | −0.44 ± 0.11, p < 0.001 | 0.244 | 0.765 |
− (n = 29) | −0.27 ± 0.07, p < 0.007 | |||
Superior hemifield | + (n = 22) | −0.51 ± 0.16, p = 0.001 | 0.321 | 0.494 |
− (n = 10) | −0.20 ± 0.18, p = 0.258 | |||
Inferior hemifield | + (n = 13) | −0.30 ± 0.14, p = 0.031 | 0.871 | 0.098 |
− (n = 19) | −0.29 ± 0.07, p < 0.001 | |||
p-value, between hemifields (DH+) | 0.392 | |||
p-value, between hemifields (DH−) | 0.577 |
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Tachibana, G.; Higashide, T.; Nitta, K.; Sugiyama, K. Association between Glaucoma Progression in Macular Ganglion Cell Complex and Disc Hemorrhage: Differences between Superior and Inferior Hemiretinas. J. Clin. Med. 2023, 12, 3996. https://doi.org/10.3390/jcm12123996
Tachibana G, Higashide T, Nitta K, Sugiyama K. Association between Glaucoma Progression in Macular Ganglion Cell Complex and Disc Hemorrhage: Differences between Superior and Inferior Hemiretinas. Journal of Clinical Medicine. 2023; 12(12):3996. https://doi.org/10.3390/jcm12123996
Chicago/Turabian StyleTachibana, Gaku, Tomomi Higashide, Koji Nitta, and Kazuhisa Sugiyama. 2023. "Association between Glaucoma Progression in Macular Ganglion Cell Complex and Disc Hemorrhage: Differences between Superior and Inferior Hemiretinas" Journal of Clinical Medicine 12, no. 12: 3996. https://doi.org/10.3390/jcm12123996