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Comparison of the Retinal Microvascular Density Between Open Angle Glaucoma and Nonarteritic Anterior Ischemic Optic Neuropathy.

Abstract To compare optical coherence tomography angiography (OCT-A) retinal vasculature measurements between nonarteritic anterior ischemic optic neuropathy (NAION) and open angle glaucoma (OAG) with altitudinal hemifield visual field defects.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title investigative ophthalmology & visual science
Publication Year Start




PMID- 28687846
OWN - NLM
STAT- MEDLINE
DA  - 20170708
DCOM- 20170714
LR  - 20170714
IS  - 1552-5783 (Electronic)
IS  - 0146-0404 (Linking)
VI  - 58
IP  - 9
DP  - 2017 Jul 01
TI  - Comparison of the Retinal Microvascular Density Between Open Angle Glaucoma and
      Nonarteritic Anterior Ischemic Optic Neuropathy.
PG  - 3350-3356
LID - 10.1167/iovs.17-22021 [doi]
AB  - Purpose: To compare optical coherence tomography angiography (OCT-A) retinal
      vasculature measurements between nonarteritic anterior ischemic optic neuropathy 
      (NAION) and open angle glaucoma (OAG) with altitudinal hemifield visual field
      defects. Methods: This retrospective cross-sectional study included 10 NAION eyes
      and 16 OAG eyes, both demonstrating hemifield visual field defects, and 27 normal
      eyes serving as controls. The peripapillary and macular OCT-A scans were
      acquired. The retinal vessel density data were compared among NAION,
      glaucomatous, as well as control eyes. Results: There was statistically
      significant difference in peripapillary whole image vessel density (wiVD),
      circumpapillary vessel density (cpVD), macular wiVD, and perifoveal vessel
      density (pfVD) between the three groups (P < 0.05 for all). In comparison between
      OAG and NAION groups, the NAION group demonstrated marked decrease in average
      cpVD (P = 0.008) and in most sectors of cpVD except the inferior one, while the
      OAG group demonstrated significant decreased macular wiVD and pfVD (P = 0.03 and 
      0.003, respectively). Multivariate analysis indicated that average thickness of
      retinal nerve fiber layer was the only predictor for peripapillary wiVD and cpVD 
      (P = 0.005 for both). By contrast, thickness of ganglion cell complex was the
      only predictor for macular wiVD (P = 0.007). Conclusions: OCT-A detected
      significant difference in peripapillary and macular retinal vessel densities
      between OAG and NAION eyes. These differences might provide comparative insight
      into the pathophysiology of these two diseases.
FAU - Liu, Chun-Hsiu
AU  - Liu CH
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
FAU - Wu, Wei-Chi
AU  - Wu WC
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
FAU - Sun, Ming-Hui
AU  - Sun MH
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
FAU - Kao, Ling-Yuh
AU  - Kao LY
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
FAU - Lee, Yung-Sung
AU  - Lee YS
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
FAU - Chen, Henry Shen-Lih
AU  - Chen HS
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University 
      College of Medicine, Taoyuan, Taiwan.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Invest Ophthalmol Vis Sci
JT  - Investigative ophthalmology & visual science
JID - 7703701
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cell Count
MH  - Cross-Sectional Studies
MH  - Female
MH  - Fluorescein Angiography
MH  - Glaucoma, Open-Angle/*pathology/physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Optic Neuropathy, Ischemic/*pathology/physiopathology
MH  - Retinal Vessels/*pathology
MH  - Retrospective Studies
MH  - Tomography, Optical Coherence
MH  - Visual Acuity/physiology
MH  - Visual Fields/physiology
EDAT- 2017/07/09 06:00
MHDA- 2017/07/15 06:00
CRDT- 2017/07/09 06:00
AID - 2643335 [pii]
AID - 10.1167/iovs.17-22021 [doi]
PST - ppublish
SO  - Invest Ophthalmol Vis Sci. 2017 Jul 1;58(9):3350-3356. doi:
      10.1167/iovs.17-22021.