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Impact of optic disc hemorrhage on subsequent glaucoma progression in mild-to-moderate myopia.

Abstract To investigate optic disc hemorrhage (DH)'s clinical implications to subsequent progression of primary open-angle glaucoma (POAG) in cases of mild-to-moderate myopia.
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PMID- 29253013
OWN - NLM
STAT- MEDLINE
DCOM- 20180108
LR  - 20180108
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 12
DP  - 2017
TI  - Impact of optic disc hemorrhage on subsequent glaucoma progression in
      mild-to-moderate myopia.
PG  - e0189706
LID - 10.1371/journal.pone.0189706 [doi]
AB  - PURPOSE: To investigate optic disc hemorrhage (DH)'s clinical implications to
      subsequent progression of primary open-angle glaucoma (POAG) in cases of
      mild-to-moderate myopia. DESIGN: Retrospective comparative study. PARTICIPANTS:
      (1) Fifty-nine (59) myopic (26.5 mm > axial length [AXL] >/= 24.0 mm) POAG
      patients with DH and (2) 59 age-, AXL-, and mean deviation (MD) of visual field
      (VF)-matched controls without DH were evaluated over the course of a minimum 3.5 
      years of follow up. For clear assessment of the effect of DH on progression of
      glaucoma, the patients selected for inclusion in the study were those with stable
      IOP (i.e., those showing an at least 20% reduction relative to the baseline IOP) 
      whose IOP-lowering medication was not increased, supplemented or changed during
      the follow-up period. METHODS: The patients' optic disc/retinal nerve fiber layer
      (RNFL) photographs were independently evaluated by three glaucoma specialists for
      structural progression of glaucoma. Event-based analysis with Guided Progression 
      Analysis (GPA) software was used to determine their functional progression. The
      durations of structural and functional progression were compared by Kaplan-Meier 
      life survival analyses. MAIN OUTCOME MEASURES: Optic disc/RNFL progression and VF
      progression. RESULTS: The mean follow-up periods between the DH and non-DH groups
      were not significantly different: in the DH group, 5.6+/-2.7 years; in the non-DH
      group, 5.4+/-2.6 years (P = 0.588). In the DH group, 30 (50.8%) of 59 eyes
      manifested optic disc/RNFL deterioration; in the non-DH group, however, only 17
      (28.8%) of 59 eyes showed structural progression. For the DH group, the
      cumulative probability of structural glaucoma progression was significantly
      greater than for the non-DH group (P = 0.001; log rank test). Interestingly, the 
      two groups did not significantly differ in the cumulative probability of
      functional progression (P = 0.79; log rank test): in the DH group, VF progression
      was observed in 14 eyes (23.7%); in the non-DH group, in 12 eyes (20.3%).
      CONCLUSIONS: DH was associated with a greater probability of structural
      progression in medically well-controlled-IOP POAG eyes with mild-to-moderate
      myopia. However, the relevance of DH to VF progression was not clear over the
      course of the average 5.5-year duration of the study.
FAU - Ha, Ahnul
AU  - Ha A
AD  - Department of Ophthalmology, Seoul National University College of Medicine,
      Seoul, Korea.
AD  - Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
FAU - Kim, Young Kook
AU  - Kim YK
AD  - Department of Ophthalmology, Seoul National University College of Medicine,
      Seoul, Korea.
AD  - Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
FAU - Jeoung, Jin Wook
AU  - Jeoung JW
AD  - Department of Ophthalmology, Seoul National University College of Medicine,
      Seoul, Korea.
AD  - Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
FAU - Park, Ki Ho
AU  - Park KH
AUID- ORCID: http://orcid.org/0000-0002-8137-8843
AD  - Department of Ophthalmology, Seoul National University College of Medicine,
      Seoul, Korea.
AD  - Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20171218
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Disease Progression
MH  - Female
MH  - Follow-Up Studies
MH  - Glaucoma, Open-Angle/complications/*pathology
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Middle Aged
MH  - Myopia/complications/*pathology
MH  - Optic Disk/physiopathology
MH  - Retinal Hemorrhage/complications/*pathology
MH  - Retrospective Studies
MH  - Risk Factors
PMC - PMC5734762
EDAT- 2017/12/19 06:00
MHDA- 2018/01/09 06:00
CRDT- 2017/12/19 06:00
PHST- 2017/08/28 00:00 [received]
PHST- 2017/11/30 00:00 [accepted]
PHST- 2017/12/19 06:00 [entrez]
PHST- 2017/12/19 06:00 [pubmed]
PHST- 2018/01/09 06:00 [medline]
AID - 10.1371/journal.pone.0189706 [doi]
AID - PONE-D-17-31536 [pii]
PST - epublish
SO  - PLoS One. 2017 Dec 18;12(12):e0189706. doi: 10.1371/journal.pone.0189706.
      eCollection 2017.