TY - JOUR
T1 - Visual field changes in glaucoma patients after blepharoptosis surgery
AU - Taniguchi, Aya
AU - Yunoki, Tatsuya
AU - Otsuka, Mitsuya
AU - Hayashi, Atsushi
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/11
Y1 - 2022/11
N2 - Purpose: To examine changes in parameters of the visual field test before and after blepharoptosis surgery in patients with glaucoma. Methods: Twenty-three eyes of 14 glaucoma patients who underwent blepharoptosis surgery at Toyama University Hospital between July 2015 and September 2020 were included in this study. Pre- and post-operative values for the mean deviation (MD), pattern standard deviation (PSD) and total deviation (TD) of the upper or lower hemi-visual field in the Humphrey visual field test, best-corrected visual acuity (BCVA), intraocular pressure (IOP), and margin reflex distance (MRD)-1 were compared. Results: MRD-1 showed a significant improvement after blepharoptosis surgery (preoperative MRD-1: 1.0 ± 0.82 mm, postoperative MRD-1: 3.26 ± 0.66 mm, p < 0.001). There were no significant differences in BCVA, IOP, MD and PSD values before and after surgery. On the other hand, there was a significant improvement in the superior TD (preoperative: −11.29 ± 6.57 dB, postoperative: −9.88 ± 7.31 dB, p = 0.044) although no significant difference was detected in the inferior TD postoperatively. The preoperative parameters of 2 groups (improvement and non-improvement groups of postoperative superior TD) were compared. Preoperative MD and superior TD were significantly lower in the improvement group (p = 0.03, p = 0.004, respectively), although there was no significant difference in preoperative PSD and inferior TD between the two groups. Conclusion: In glaucoma patients, blepharoptosis may interfere with accurate visual field assessment, especially of superior TD.
AB - Purpose: To examine changes in parameters of the visual field test before and after blepharoptosis surgery in patients with glaucoma. Methods: Twenty-three eyes of 14 glaucoma patients who underwent blepharoptosis surgery at Toyama University Hospital between July 2015 and September 2020 were included in this study. Pre- and post-operative values for the mean deviation (MD), pattern standard deviation (PSD) and total deviation (TD) of the upper or lower hemi-visual field in the Humphrey visual field test, best-corrected visual acuity (BCVA), intraocular pressure (IOP), and margin reflex distance (MRD)-1 were compared. Results: MRD-1 showed a significant improvement after blepharoptosis surgery (preoperative MRD-1: 1.0 ± 0.82 mm, postoperative MRD-1: 3.26 ± 0.66 mm, p < 0.001). There were no significant differences in BCVA, IOP, MD and PSD values before and after surgery. On the other hand, there was a significant improvement in the superior TD (preoperative: −11.29 ± 6.57 dB, postoperative: −9.88 ± 7.31 dB, p = 0.044) although no significant difference was detected in the inferior TD postoperatively. The preoperative parameters of 2 groups (improvement and non-improvement groups of postoperative superior TD) were compared. Preoperative MD and superior TD were significantly lower in the improvement group (p = 0.03, p = 0.004, respectively), although there was no significant difference in preoperative PSD and inferior TD between the two groups. Conclusion: In glaucoma patients, blepharoptosis may interfere with accurate visual field assessment, especially of superior TD.
KW - blepharoptosis
KW - blepharoptosis surgery
KW - humphrey visual field
KW - mean deviation
KW - total deviation
UR - http://www.scopus.com/inward/record.url?scp=85122660050&partnerID=8YFLogxK
U2 - 10.1177/11206721211073254
DO - 10.1177/11206721211073254
M3 - 学術論文
C2 - 35001702
AN - SCOPUS:85122660050
SN - 1120-6721
VL - 32
SP - 3353
EP - 3357
JO - European Journal of Ophthalmology
JF - European Journal of Ophthalmology
IS - 6
ER -