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Long-term progression of visual field defects and related factors in medically treated normal tension glaucoma

Overview of attention for article published in Clinical Ophthalmology, January 2018
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Title
Long-term progression of visual field defects and related factors in medically treated normal tension glaucoma
Published in
Clinical Ophthalmology, January 2018
DOI 10.2147/opth.s146455
Pubmed ID
Authors

Keiji Yoshikawa, Kazunori Santo, Hiroko Hizaki, Masayo Hashimoto

Abstract

To analyze factors related to long-term progression of visual field defects (VFD) in patients with normal tension glaucoma (NTG) under medical therapy. Clinical data from 622 eyes of 311 primary open-angle glaucoma and NTG patients were collected from April 2006 to March 2016. Of these patients, those with normal intraocular pressure (IOP); glaucomatous VFD judged by Anderson's criteria; corrected visual acuity ≥0.7; receiving more than 6 years medical therapy; having undergone ≥10 visual field tests performed at 6-month intervals using a Humphrey field analyzer (Swedish Interactive Threshold Algorithms standard, C 24-2 program); and having reliability coefficients of visual field testing <33% and mean deviation (MD) more than -20 decibels in the initial visual field test were included in data analysis. The relationship between MD slope deterioration at final observation and consecutive decreases in MD value during the observation period, as well as clinical characteristics and IOP-related factors, were analyzed. Of 134 eyes in 134 NTG patients meeting all eligibility criteria, significant MD slope deterioration was observed in 80 eyes (59.7%). MD slope deterioration was significantly associated with consecutive decreases in MD values (Cochran-Armitage trend test:P=0.0000; univariate logistic regression analysis:P<0.0001). While no significant relationship was observed between central corneal thickness, refractive error, or prevalence of disc hemorrhage, consecutive decreases in MD value was significantly related to MD slope deterioration (univariate logistic regression analysis:P<0.0001). A reduction of IOP during the follow-up period was significantly related to nondeterioration of the MD slope (multivariate logistic regression analysis:P=0.0020). In this 6-year observation of NTG patients treated with medical therapy, the occurrence of three or more consecutive decreases in MD value was significantly associated with visual field deterioration. Reduction in IOP was postulated to be contributing in the prevention of VFD progression.

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Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 3 14%
Student > Bachelor 2 10%
Professor 2 10%
Student > Master 2 10%
Researcher 2 10%
Other 2 10%
Unknown 8 38%
Readers by discipline Count As %
Medicine and Dentistry 8 38%
Nursing and Health Professions 4 19%
Unknown 9 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 January 2018.
All research outputs
#20,110,957
of 25,584,565 outputs
Outputs from Clinical Ophthalmology
#2,415
of 3,687 outputs
Outputs of similar age
#326,777
of 450,901 outputs
Outputs of similar age from Clinical Ophthalmology
#24
of 32 outputs
Altmetric has tracked 25,584,565 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.