Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma

Background/Aim. Primary open-angle glaucoma is a multifactorial and progressive neuropathy, characterized by the acquired loss of ganglion cells of the retina and their axons. One of the risk factors for primary open-angle glaucoma is myopia over 5 diopters (D). The aim of our work was to invest...

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Main Authors: Gvozdenović Ranko, Risović Dušica, Marjanović Ivan, Vuković Dragan, Stanković Branislav
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2013-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200024G.pdf
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author Gvozdenović Ranko
Risović Dušica
Marjanović Ivan
Vuković Dragan
Stanković Branislav
author_facet Gvozdenović Ranko
Risović Dušica
Marjanović Ivan
Vuković Dragan
Stanković Branislav
author_sort Gvozdenović Ranko
collection DOAJ
description Background/Aim. Primary open-angle glaucoma is a multifactorial and progressive neuropathy, characterized by the acquired loss of ganglion cells of the retina and their axons. One of the risk factors for primary open-angle glaucoma is myopia over 5 diopters (D). The aim of our work was to investigate two groups of patients with primary open-angle glaucoma and myopia by using confocal scanning laser ophthalmoscopy, and to find out if the size of refractive error influences optic disk morfometric characteristics. Methods. One hundred eyes of one hundred patients with primary open-angle glaucoma and myopia were involved in our study. All the patients were classified into two groups, the first one with myopia < 5 D, and the second one with myopia ≥ 5 D. The Heidelberg retina tomograph is a technique we used in our study. We analyzed morfometric parameters of patients optic discs, with the aim to find a correlation between the parameters in each group separeatly, and also to find differences between the same parameters from both groups. Results. There were significant differences in disc area, cup area, rim area and mean RNFL thickness between the two groups. The size of damage of neuroretinal rim in the group with high myopia was 27%, and in the group with lower myopia 14%. The most frequently damaged segment of neuroretinal rim in the patients with high myopia was nasal segment and in the patients with low myopia infero-temporal one. The least frequently damaged segment of neuroretinal rim in both groups was temporal one. Conclusion. Optic discs of glaucomatous patients with high myopia have bigger diameter, also bigger and more irregularly distributed damaged zone of neuroretinal rim, and also thinner retinal nerve fiber layer compared to glaucomatous patients with lower myopia.
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spelling doaj.art-e7d648d79e0d47eb9a9a4bafe5812e892022-12-21T19:03:37ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502013-01-01701515610.2298/VSP111229024GMorphometric characteristics of optic disc in patients with myopia and primary open-angle glaucomaGvozdenović RankoRisović DušicaMarjanović IvanVuković DraganStanković BranislavBackground/Aim. Primary open-angle glaucoma is a multifactorial and progressive neuropathy, characterized by the acquired loss of ganglion cells of the retina and their axons. One of the risk factors for primary open-angle glaucoma is myopia over 5 diopters (D). The aim of our work was to investigate two groups of patients with primary open-angle glaucoma and myopia by using confocal scanning laser ophthalmoscopy, and to find out if the size of refractive error influences optic disk morfometric characteristics. Methods. One hundred eyes of one hundred patients with primary open-angle glaucoma and myopia were involved in our study. All the patients were classified into two groups, the first one with myopia < 5 D, and the second one with myopia ≥ 5 D. The Heidelberg retina tomograph is a technique we used in our study. We analyzed morfometric parameters of patients optic discs, with the aim to find a correlation between the parameters in each group separeatly, and also to find differences between the same parameters from both groups. Results. There were significant differences in disc area, cup area, rim area and mean RNFL thickness between the two groups. The size of damage of neuroretinal rim in the group with high myopia was 27%, and in the group with lower myopia 14%. The most frequently damaged segment of neuroretinal rim in the patients with high myopia was nasal segment and in the patients with low myopia infero-temporal one. The least frequently damaged segment of neuroretinal rim in both groups was temporal one. Conclusion. Optic discs of glaucomatous patients with high myopia have bigger diameter, also bigger and more irregularly distributed damaged zone of neuroretinal rim, and also thinner retinal nerve fiber layer compared to glaucomatous patients with lower myopia.http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200024G.pdfmyopiaglaucoma, open-angleoptic disktomography, optical coherence, prognosis
spellingShingle Gvozdenović Ranko
Risović Dušica
Marjanović Ivan
Vuković Dragan
Stanković Branislav
Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
Vojnosanitetski Pregled
myopia
glaucoma, open-angle
optic disk
tomography, optical coherence, prognosis
title Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
title_full Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
title_fullStr Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
title_full_unstemmed Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
title_short Morphometric characteristics of optic disc in patients with myopia and primary open-angle glaucoma
title_sort morphometric characteristics of optic disc in patients with myopia and primary open angle glaucoma
topic myopia
glaucoma, open-angle
optic disk
tomography, optical coherence, prognosis
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200024G.pdf
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AT marjanovicivan morphometriccharacteristicsofopticdiscinpatientswithmyopiaandprimaryopenangleglaucoma
AT vukovicdragan morphometriccharacteristicsofopticdiscinpatientswithmyopiaandprimaryopenangleglaucoma
AT stankovicbranislav morphometriccharacteristicsofopticdiscinpatientswithmyopiaandprimaryopenangleglaucoma