대한안과학회 제109회 학술대회 발표 연제 초록
 
발표일자: 2013년 04월 20일 (토)
발표시간: 15:50~15:58
발표번호: 녹F-033
발표장소: C방
Comparison of Visual Field Progression between Relatively Low and High Intraocular Pressure Groups in Normal Tension Glaucoma Patients
공안과(1), 성균관대학교 삼성서울병원(2)
이정민(1), 공민귀(2), 김재령(2), 기창원(2)
목적 : To determine risk factors of visual field (VF) progression in relatively low and high intraocular pressure (IOP) groups in normal tension glaucoma (NTG) patients and to compare progression rate of VF defects between the two groups 방법 : Forty nine eyes of 49 NTG patients with untreated IOP of ≤ 15 mmHg (group A) and 49 eyes of 49 NTG patients matched by age and baseline VF mean deviation (MD) who had untreated IOP of > 15 mmHg (group B) were included in this retrospective chart review study. All patients were followed more than 5 years. Risk factors for VF progression were evaluated using Cox proportional hazards models in each group, separately. Changes in VF indexes were compared between the two groups. 결과 : Mean IOP and IOP fluctuation were significantly greater in group B than in group A (P < 0.001 and P = 0.016), whereas other factors did not differ between the groups. In multivariable analysis, VF progression was significantly associated with disc hemorrhage in group A ( HR, 6.19, P = 0.017) and mean IOP in group B (HR, 1.77, P = 0.029). There was no significant difference between the groups in incidence of progression and in changes of MD, pattern standard deviation and visual field index (P = 0.942, P = 0.874 and P = 0.887, respectively)결론 : Although progression rate was similar, the risk factors for VF progression were different in the two groups. These findings may suggest that IOP-dependent and -independent factors affect VF progression differently in the two groups.