SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure
ABSTRACT Objective: To evaluate structural and visual field (VF) changes after ≥1 year of a single acute primary angle closure (APAC) attack using spectral-domain optical coherence tomography (SD-OCT) and standard automated perimetry (SAP). Methods: Patients with a single unilateral APAC crisis at...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Oftalmologia
2022-12-01
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| Series: | Revista Brasileira de Oftalmologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802022000100232&tlng=en |
| _version_ | 1811179226704904192 |
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| author | Rafael Vidal Merola Sebastião Cronemberger Érica de Abreu Borges Jamily Batista Prates |
| author_facet | Rafael Vidal Merola Sebastião Cronemberger Érica de Abreu Borges Jamily Batista Prates |
| author_sort | Rafael Vidal Merola |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate structural and visual field (VF) changes after ≥1 year of a single acute primary angle closure (APAC) attack using spectral-domain optical coherence tomography (SD-OCT) and standard automated perimetry (SAP). Methods: Patients with a single unilateral APAC crisis at least 1 year ago were included consecutively from 2013 to 2016. Contralateral eye was used as control. All patients underwent ophthalmic examination, RNFL imaging by SD-OCT, and SAP using Octopus 1-2-3. Results: 54 eyes (27 patients) were enrolled. Male-to-female ratio was 1:2. Mean time for the SD-OCT and SAP assessment after the crisis was 5.0±5.1 (1.0–23.5) years, and IOP was 52.5±9.8 mmHg. In APAC eyes, the thicknesses of all quadrants of peripapillary RNFL (36.3%; P<0.001) and some macular sections (from 2.1% to 4.7%; P<0.01) were reduced compared to contralateral eyes. Additionally, in APAC eyes, the mean defect on VF was negatively and statistically correlated with the reduction of all quadrants of peripapillary RNFL thickness. Conclusion: A single episode of APAC was associated with peripapillary RNFL and macular thickness and with VF defects after ≥1 year of the crisis in the affected eye. Statistically meaningful correlations were found between structural and functional damage. |
| first_indexed | 2024-04-11T06:32:21Z |
| format | Article |
| id | doaj.art-0e0684bf59f2471581f4920fa8bc89fc |
| institution | Directory Open Access Journal |
| issn | 1982-8551 |
| language | English |
| last_indexed | 2024-04-11T06:32:21Z |
| publishDate | 2022-12-01 |
| publisher | Sociedade Brasileira de Oftalmologia |
| record_format | Article |
| series | Revista Brasileira de Oftalmologia |
| spelling | doaj.art-0e0684bf59f2471581f4920fa8bc89fc2022-12-22T04:39:59ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512022-12-018110.37039/1982.8551.20220069SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closureRafael Vidal Merolahttps://orcid.org/0000-0002-8846-3610Sebastião Cronembergerhttps://orcid.org/0000-0003-1466-9963Érica de Abreu Borgeshttps://orcid.org/0000-0002-5489-1529Jamily Batista Prateshttps://orcid.org/0000-0002-1373-6653ABSTRACT Objective: To evaluate structural and visual field (VF) changes after ≥1 year of a single acute primary angle closure (APAC) attack using spectral-domain optical coherence tomography (SD-OCT) and standard automated perimetry (SAP). Methods: Patients with a single unilateral APAC crisis at least 1 year ago were included consecutively from 2013 to 2016. Contralateral eye was used as control. All patients underwent ophthalmic examination, RNFL imaging by SD-OCT, and SAP using Octopus 1-2-3. Results: 54 eyes (27 patients) were enrolled. Male-to-female ratio was 1:2. Mean time for the SD-OCT and SAP assessment after the crisis was 5.0±5.1 (1.0–23.5) years, and IOP was 52.5±9.8 mmHg. In APAC eyes, the thicknesses of all quadrants of peripapillary RNFL (36.3%; P<0.001) and some macular sections (from 2.1% to 4.7%; P<0.01) were reduced compared to contralateral eyes. Additionally, in APAC eyes, the mean defect on VF was negatively and statistically correlated with the reduction of all quadrants of peripapillary RNFL thickness. Conclusion: A single episode of APAC was associated with peripapillary RNFL and macular thickness and with VF defects after ≥1 year of the crisis in the affected eye. Statistically meaningful correlations were found between structural and functional damage.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802022000100232&tlng=enTomography, optical coherenceVisual fieldsGlaucoma, angle-closureOptic discMacula lutea |
| spellingShingle | Rafael Vidal Merola Sebastião Cronemberger Érica de Abreu Borges Jamily Batista Prates SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure Revista Brasileira de Oftalmologia Tomography, optical coherence Visual fields Glaucoma, angle-closure Optic disc Macula lutea |
| title | SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| title_full | SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| title_fullStr | SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| title_full_unstemmed | SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| title_short | SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| title_sort | sd oct assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure |
| topic | Tomography, optical coherence Visual fields Glaucoma, angle-closure Optic disc Macula lutea |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802022000100232&tlng=en |
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