Korean J Ophthalmol.  2004 Dec;18(2):100-105. 10.3341/kjo.2004.18.2.100.

Relationship between the Extent of Peripheral Anterior Synechiae and the Severity of Visual Field Defects in Primary Angle-closure Glaucoma

Affiliations
  • 1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.

Abstract

We investigated the relationship between the circumferential extent of peripheral anterior synechiae (PAS) and the severity of visual field defects in primary angle-closure glaucoma (PACG). Correlations between visual field defects and the extent of PAS were analyzed in 73 eyes; 28 with and 45 without acute attacks. Spearman's correlation coefficient between the severity of visual field defects and the extent of PAS was 0.348 (P = 0.003) in all subjects (n = 73), 0.377 (P = 0.012) in the PACG eyes without acute attacks (n = 45), and 0.338 (P = 0.079) in the eyes with acute attacks (n = 28). Our results showed a statistically significant correlation between the extent of PAS and the severity of visual field damage in PACGoverall, and especially in PACG patients without a history of acute attacks.

Keyword

peripheral anterior synechiae; primary angle-closure glaucoma; visual field

MeSH Terms

Aged
Comparative Study
Female
Glaucoma, Angle-Closure/*etiology/physiopathology
Humans
Intraocular Pressure
Iris Diseases/*complications/physiopathology
Male
Middle Aged
Perimetry
Scotoma/*etiology/physiopathology
*Visual Fields

Figure

  • Fig. 1 Scattergram of visual field defects on PAS for all the eyes (n = 73). Spearman's correlation coefficient is 0.348 (95% CI, 0.128~0.536; P = 0.003). The continuous line is the best-fit regression line.

  • Fig. 2 Scattergram of visual field defects on PAS for all the eyes (n = 73). Spearman's correlation coefficient is 0.348 (95% CI, 0.128~0.536; P = 0.003). The continuous line is the best-fit regression line.

  • Fig. 3 Scattergram of visual field defects on PAS for the eyes without acute attacks (n = 45). Spearman's correlation coefficient is 0.377 (95% CI, 0.094~0.604; P = 0.012). The continuous line is the best-fit regression line.


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