| Different types of optic disc shape in patients with advanced open-angle glaucoma. | |
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MedLine Citation:
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PMID: 20700795 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To study the characteristics of patients with advanced open-angle glaucoma. METHODS: A hospital-based retrospective study was performed. Advanced glaucoma was defined as visual acuity of 0.3 or less, or mean deviation of -24 dB or less. First, we screened patients with advanced glaucoma and classified their glaucoma types. For patients with open-angle glaucoma (OAG), including both primary open-angle glaucoma (POAG) and normal-tension glaucoma (NTG), disc types were classified into four groups: focal ischemic (FI), myopic glaucomatous (MY), senile sclerotic (SS), and generalized cup enlargement (GE). RESULTS: After checking the medical history of 750 glaucoma patients, we classified 141 (18.8%) as having the advanced stage of the disease. The proportion of patients with advanced OAG was 47% (28% POAG, 19% NTG). The classification of optic disc appearances in OAG patients showed that in patients with POAG the predominant disc type was GE (P = 0.0012) and in those with NTG it was MY (P < 0.0001). CONCLUSION: In OAG patients in this study with severe glaucomatous damage, the predominant disc phenotype was GE in patients with POAG and MY in those with NTG. |
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Authors:
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Toru Nakazawa; Nobuo Fuse; Kazuko Omodaka; Naoko Aizawa; Souichiro Kuwahara; Kohji Nishida |
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Publication Detail:
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Type: Journal Article Date: 2010-08-11 |
Journal Detail:
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Title: Japanese journal of ophthalmology Volume: 54 ISSN: 1613-2246 ISO Abbreviation: Jpn. J. Ophthalmol. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-11 Completed Date: 2010-10-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0044652 Medline TA: Jpn J Ophthalmol Country: Japan |
Other Details:
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Languages: eng Pagination: 291-5 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan. ntoru@oph.med.tohoku.ac.jp |
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Glaucoma, Open-Angle / classification*, diagnosis Humans Intraocular Pressure Low Tension Glaucoma / classification, diagnosis Male Middle Aged Myopia / classification Optic Disk / pathology* Optic Nerve Diseases / classification*, diagnosis Retrospective Studies Tonometry, Ocular Vision, Low / classification Visual Acuity |
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