Changes in the Visual Field Test after Descemet Stripping Automated Endothelial Keratoplasty in Advanced Glaucoma

被引:0
作者
Toyokawa, Noriko [1 ]
Araki-Sasaki, Kaoru [1 ,2 ]
Kimura, Hideya [1 ]
Kuroda, Shinichiro [1 ]
机构
[1] Nagata Eye Clin, 1147 Kitayamada Houria, Nara, Nara 6310844, Japan
[2] Kansai Med Univ, Dept Ophthalmol, 2-5-1 Shinmachi, Hirakata, Osaka 5731010, Japan
关键词
DSAEK; glaucoma; visual field test; Goldmann perimetry; Humphrey Field Analyzer; QUALITY-OF-LIFE; INTRAOCULAR-PRESSURE; PREVIOUS TRABECULECTOMY; RISK-FACTORS; OUTCOMES; EYES; FAILURE; IMPACT;
D O I
10.3390/jcm13051431
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: To evaluate changes in the visual field (VF) after Descemet stripping automated endothelial keratoplasty (DSAEK) in eyes with advanced glaucoma and previous trabeculectomy. Methods: Changes in VF, best-corrected visual acuity (BCVA), intraocular pressure (IOP), and number of glaucoma medications were analyzed before and after DSAEK in 19 eyes. The VFs were evaluated using the 10-2 program of the Humphrey Field Analyzer (HFA) and/or Goldmann perimetry (GP). Results: In nine eyes, the MD improved from -22.24 +/- 6.5 dB to -18.36 +/- 5.1 dB in HFA. In five out of nine eyes, postoperative MD improved >1 dB compared to preoperative MD. In GP testing, 10 out of 15 eyes showed an improvement, that is, greater than 20 degrees in VF enlargement by the isopter of I-4e and/or new detection of a smaller or darker isopter. Overall, improvement in VF with the HFA and/or GP test was observed in 12/19 (63.2%) eyes after DSAEK. Postoperative BCVA improved by more than two lines in logMAR VA in 18 of 19 (94.7%) eyes. There were no significant differences between the preoperative and postoperative IOP and the number of glaucoma medications. Conclusions: DSAEK may produce subjective improvement in the visual field as well as improved visual acuity, even in advanced glaucomatous eyes.
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页数:10
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