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Evaluation of Long-Term Visual Field Function in Patients Undergoing Glaucoma Drainage Device Implantation

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机构： [1]Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA [2]Henan Eye Institute, Henan Eye Hospital, Henan Provincial People’s Hospital and Zhengzhou University People’s Hospital, Zhengzhou, People’s Republic of China [3]Center for Preventive Ophthalmology and Biostatistics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA [4]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, People’s Republic of China [5]Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, People’s Republic of China [6]Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA

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Purpose: To determine the change in global and regional Humphrey visual fields (VF) after glaucoma drainage device (GDD) implantation over a 3-year follow-up period. Design: Retrospective interventional case series. Methods: Patients undergoing GDD placement from between 2010 and 2015 with reliable preoperative and yearly postoperative VF measurements were included. Clinical parameters were compared between preoperative and follow-up visits, including visual acuity, intraocular pressure (IOP), number of glaucoma medications, global VF metrics (mean deviation [MD]), pattern standard deviation (PSD), CIGTS (Collaborative Initial Glaucoma Treatment Study) score of total deviation probability (CIGTS_TDP) and pattern deviation probability (CIGTS_PDP), and regional metrics (regional total deviation (TD), regional pattern deviation (PD), and regional CIGTS_TDP and CIGTS_PDP). Multivariate regression analyses were performed to determine risk factors for VF worsening after GDD surgery. Results: A total of 106 eyes from 95 patients were included. Mean IOP ± SD was reduced from 23.1 ± 8.5 mm Hg to 12.7 ± 3.1 mm Hg at 3-year follow-up (P < .001). MD, PSD, and global CIGTS_PDP showed no significant changes in follow-up, whereas global CIGTS_TDP showed mild progression from 10.7 to 12.8 at 3-year follow-up (P = .01). No regional metrics showed worsening at follow-up examinations. Defects in the superior hemifield were more common than in the inferior hemifield at baseline and follow-up examinations for all regional metrics. Pre-operative number of glaucoma medications was associated with worsening on CIGTS_TDP. Conclusions: Overall, GDD surgery is effective at stabilizing VF function over 3 years of follow-up. The superior hemifield is affected more than other regions. The number of pre-operative glaucoma medications is associated with mild VF progression, measured by CIGTS_TDP. © 2020

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出版当年[2019]版：

大类 | 2 区医学

小类 | 2 区眼科学

最新[2023]版：

大类 | 1 区

医学

小类 | 1 区眼科学

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出版当年[2018]版：

Q1 OPHTHALMOLOGY

最新[2023]版：

Q1 OPHTHALMOLOGY

影响因子： 4.1 最新[2023版] 4.4 最新五年平均 4.483 出版当年[2018版] 4.602 出版当年五年平均 4.795 出版前一年[2017版] 4.013 出版后一年[2019版]

第一作者：

第一作者机构： [1]Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA [2]Henan Eye Institute, Henan Eye Hospital, Henan Provincial People’s Hospital and Zhengzhou University People’s Hospital, Zhengzhou, People’s Republic of China

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通讯机构： [1]Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA [*1]Department of Ophthalmology, University of California, San Francisco, 10 Koret Way, San Francisco, California 94143, USA

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