Influencing factors of visual field defects in patients with advanced glaucoma
10.7683/xxyxyxb.2024.06.005
- VernacularTitle:晚期青光眼患者视野缺损程度影响因素分析
- Author:
Hua YANG
1
;
Zhiqiang DAI
;
Yan LI
;
Xinmin LI
;
Qingbo LI
Author Information
1. 新乡医学院第一附属医院眼科,河南 卫辉 453100
- Keywords:
glaucoma;
advanced stage;
visual field defect;
influencing factor
- From:
Journal of Xinxiang Medical College
2024;41(6):529-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors for visual field defects in patients with advanced glaucoma.Methods Two hundred and six patients(206 eyes)with advanced glaucoma treated in the First Affiliated Hospital of Xinxiang Medical University from January 2019 to January 2023 were selected as the research subjects.The clinical and follow-up data of the patients were retrospectively analyzed.The patients were divided into the temporal visual island group(n=134)and the tubular visual field group(n=72)based on the degree of visual field defects.The risk factors for visual field defects in patients with advanced glaucoma were analyzed through univariate and multivariate logistic regression.Results The univariate logistic regression analysis showed that comorbidity with high myopia,types of glaucoma,peak and mean intraocular pressure during follow-up,types of drugs,and types of cumulative medication use were associated with visual field defects in patients with advanced glaucoma(P＜0.05).The multivariate logistic regression analysis showed that comorbidity with high myopia,chronic primary angle closure glaucoma(CPACG),and peak intraocular pressure ≥21 mm Hg(1 mm Hg=0.133 kPa)during follow-up were the independent risk factors for visual field defects in patients with advanced glaucoma(P＜0.05).Conclusion The incidence of temporal visual island is high in patients with advanced glaucoma.It is necessary to strengthen intraocular pressure monitoring and related eye health education in patients with high myopia,CPACG,and peak intraocular pressure≥21 mm Hg during follow-up to improve the visual field defects.
