Document Detail

A long-term prospective study of risk factors for glaucomatous visual field loss in patients with ocular hypertension.
MedLine Citation:
PMID:  15741815     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the importance of baseline risk factors for development of glaucomatous visual field loss in patients with high-risk ocular hypertension. METHODS: In the Malmö Ocular Hypertension Study, 90 patients were randomized to topical timolol or placebo treatment and observed prospectively for up to 10 years. Patients with elevated intraocular pressure (IOP) and with open angles and normal visual fields, plus at least one extra risk factor, were eligible. Risk factors were suspect disc or known disc hemorrhage, positive family history of glaucoma, pseudoexfoliation or pigment dispersion syndrome, diabetes, and mean IOP on DTC > or = 27 mm Hg. These risk factors and also the mean baseline IOP and IOP fluctuation, sex, age, and blood pressure were evaluated as predictors for development of reproducible glaucomatous visual field loss. In addition to the prospective data, post-study data were retrieved from patients' records extending maximum follow-up to 17 years. RESULTS: Thirty-seven patients developed glaucomatous visual field loss. Of all factors included in the analysis, disc appearance, older age, and higher IOP came out as significant risks. Suspect disc appearance increased the risk approximately three times, with a hazard ratio of 2.90, and CI: 1.34-6.30, the hazard ratio was 1.05 and CI: 1.03-1.09 per year of age, while mean baseline IOP increased the risk with 14% per mm Hg (CI: 1.01-1.28). CONCLUSION: Patients with ocular hypertension were at higher risk for developing glaucomatous visual field loss if discs were suspect, if IOP was high, and if the patient was older in age.
Boel Bengtsson; Anders Heijl
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of glaucoma     Volume:  14     ISSN:  1057-0829     ISO Abbreviation:  J. Glaucoma     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-02     Completed Date:  2005-05-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9300903     Medline TA:  J Glaucoma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-8     Citation Subset:  IM    
Department of Ophthalmology, Malmö University Hospital, Lund University, SE-205 02 Malmö, Sweden.
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MeSH Terms
Double-Blind Method
Follow-Up Studies
Glaucoma, Open-Angle / etiology*,  physiopathology
Intraocular Pressure
Middle Aged
Ocular Hypertension / complications*,  physiopathology
Prospective Studies
Risk Factors
Vision Disorders / etiology*,  physiopathology
Visual Fields*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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