Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss

Elise V Taniguchi,1–3 Eleftherios I Paschalis,1,2 Dejiao Li,1,4 Kouros Nouri-Mahdavi,5 Stacey C Brauner,1 Scott H Greenstein,1 Angela V Turalba,1 Janey L Wiggs,1 Louis R Pasquale,1,6 Lucy Q Shen1 1Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA,...

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Autores principales: Taniguchi EV, Paschalis EI, Li D, Nouri-Mahdavi K, Brauner SC, Greenstein SH, Turalba AV, Wiggs JL, Pasquale LR, Shen LQ
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:2ece9c6247de4d43ab39a371866719ff2021-12-02T07:38:56ZThin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss1177-5483https://doaj.org/article/2ece9c6247de4d43ab39a371866719ff2017-12-01T00:00:00Zhttps://www.dovepress.com/thin-minimal-rim-width-at-bruchs-membrane-opening-is-associated-with-g-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Elise V Taniguchi,1–3 Eleftherios I Paschalis,1,2 Dejiao Li,1,4 Kouros Nouri-Mahdavi,5 Stacey C Brauner,1 Scott H Greenstein,1 Angela V Turalba,1 Janey L Wiggs,1 Louis R Pasquale,1,6 Lucy Q Shen1 1Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, 2Boston Keratoprosthesis Laboratory, Massachusetts Eye and Ear – Schepens Eye Research Institute, Harvard Medical School, Boston, MA, USA; 3Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, Brazil; 4Department of Ophthalmology, Beijing China-Japan Friendship Hospital, Beijing, People’s Republic of China; 5Department of Ophthalmology, David Geffen School of Medicine and Stein Eye Institute, Los Angeles, CA, USA; 6Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA Purpose: To compare optic nerve head (ONH) measurements in glaucomatous eyes with paracentral visual field (VF) loss to eyes with peripheral VF loss and controls.Methods: Open-angle glaucoma (OAG) patients with early paracentral VF loss or isolated peripheral VF loss as well as control subjects underwent ONH imaging with swept-source optical coherence tomography (OCT) and retinal nerve fiber layer (RNFL) imaging with spectral-domain OCT. Minimum rim width at Bruch’s membrane opening (BMO-MRW), lamina cribrosa depth (LCD), and RNFL thickness were compared among the glaucoma and control groups with one-way analysis of variance, Kruskal–Wallis test, and multiple regression analysis.Results: Twenty-nine eyes from 29 OAG patients (15 early paracentral and 14 isolated peripheral VF loss) and 20 eyes of 20 control subjects were included. The early paracentral and isolated peripheral VF loss groups had similar VF mean deviation (MD) (–5.3±2.7 dB and –3.7±3.0 dB, p=0.15, respectively). Global BMO-MRW was lower in OAG eyes than in controls (193.8±40.0 vs 322.7±62.2 µm, p<0.001), but similar between eyes with early paracentral VF loss and those with isolated peripheral VF loss (187.6±43.4 vs 200.6±36.3 µm; p>0.99). In contrast, the minimal BMO-MRW was lower in eyes with early paracentral loss (69.0±33.6 µm) than in eyes with isolated peripheral loss (107.7±40.2 µm; p=0.03) or control eyes (200.1±40.8 µm; p<0.001). Average and thinnest RNFL thickness did not differ between OAG groups (p=0.61 and 0.19, respectively). Horizontal and vertical LCD did not differ among the OAG groups and controls (p=0.80 and 0.82, respectively). Multivariable linear regression analysis among OAG cases confirmed the association between lower minimal BMO-MRW and early paracentral VF loss (β=–38.3 µm; 95% confidence interval, –69.8 to –6.8 µm; p=0.02) after adjusting for age, gender, MD, and disc size.Conclusion: Thin minimal BMO-MRW may represent a new structural biomarker associated with early glaucomatous paracentral VF loss. Keywords: paracentral loss, BMO-MRW, open angle glaucoma, optic nerve damage, swept-source OCTTaniguchi EVPaschalis EILi DNouri-Mahdavi KBrauner SCGreenstein SHTuralba AVWiggs JLPasquale LRShen LQDove Medical PressarticleParacentral LossBMO-MRWOpen Angle GlaucomaOptic Nerve DamageSwept-Source OCTOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 2157-2167 (2017)
institution DOAJ
collection DOAJ
language EN
topic Paracentral Loss
BMO-MRW
Open Angle Glaucoma
Optic Nerve Damage
Swept-Source OCT
Ophthalmology
RE1-994
spellingShingle Paracentral Loss
BMO-MRW
Open Angle Glaucoma
Optic Nerve Damage
Swept-Source OCT
Ophthalmology
RE1-994
Taniguchi EV
Paschalis EI
Li D
Nouri-Mahdavi K
Brauner SC
Greenstein SH
Turalba AV
Wiggs JL
Pasquale LR
Shen LQ
Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
description Elise V Taniguchi,1–3 Eleftherios I Paschalis,1,2 Dejiao Li,1,4 Kouros Nouri-Mahdavi,5 Stacey C Brauner,1 Scott H Greenstein,1 Angela V Turalba,1 Janey L Wiggs,1 Louis R Pasquale,1,6 Lucy Q Shen1 1Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, 2Boston Keratoprosthesis Laboratory, Massachusetts Eye and Ear – Schepens Eye Research Institute, Harvard Medical School, Boston, MA, USA; 3Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, Brazil; 4Department of Ophthalmology, Beijing China-Japan Friendship Hospital, Beijing, People’s Republic of China; 5Department of Ophthalmology, David Geffen School of Medicine and Stein Eye Institute, Los Angeles, CA, USA; 6Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA Purpose: To compare optic nerve head (ONH) measurements in glaucomatous eyes with paracentral visual field (VF) loss to eyes with peripheral VF loss and controls.Methods: Open-angle glaucoma (OAG) patients with early paracentral VF loss or isolated peripheral VF loss as well as control subjects underwent ONH imaging with swept-source optical coherence tomography (OCT) and retinal nerve fiber layer (RNFL) imaging with spectral-domain OCT. Minimum rim width at Bruch’s membrane opening (BMO-MRW), lamina cribrosa depth (LCD), and RNFL thickness were compared among the glaucoma and control groups with one-way analysis of variance, Kruskal–Wallis test, and multiple regression analysis.Results: Twenty-nine eyes from 29 OAG patients (15 early paracentral and 14 isolated peripheral VF loss) and 20 eyes of 20 control subjects were included. The early paracentral and isolated peripheral VF loss groups had similar VF mean deviation (MD) (–5.3±2.7 dB and –3.7±3.0 dB, p=0.15, respectively). Global BMO-MRW was lower in OAG eyes than in controls (193.8±40.0 vs 322.7±62.2 µm, p<0.001), but similar between eyes with early paracentral VF loss and those with isolated peripheral VF loss (187.6±43.4 vs 200.6±36.3 µm; p>0.99). In contrast, the minimal BMO-MRW was lower in eyes with early paracentral loss (69.0±33.6 µm) than in eyes with isolated peripheral loss (107.7±40.2 µm; p=0.03) or control eyes (200.1±40.8 µm; p<0.001). Average and thinnest RNFL thickness did not differ between OAG groups (p=0.61 and 0.19, respectively). Horizontal and vertical LCD did not differ among the OAG groups and controls (p=0.80 and 0.82, respectively). Multivariable linear regression analysis among OAG cases confirmed the association between lower minimal BMO-MRW and early paracentral VF loss (β=–38.3 µm; 95% confidence interval, –69.8 to –6.8 µm; p=0.02) after adjusting for age, gender, MD, and disc size.Conclusion: Thin minimal BMO-MRW may represent a new structural biomarker associated with early glaucomatous paracentral VF loss. Keywords: paracentral loss, BMO-MRW, open angle glaucoma, optic nerve damage, swept-source OCT
format article
author Taniguchi EV
Paschalis EI
Li D
Nouri-Mahdavi K
Brauner SC
Greenstein SH
Turalba AV
Wiggs JL
Pasquale LR
Shen LQ
author_facet Taniguchi EV
Paschalis EI
Li D
Nouri-Mahdavi K
Brauner SC
Greenstein SH
Turalba AV
Wiggs JL
Pasquale LR
Shen LQ
author_sort Taniguchi EV
title Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
title_short Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
title_full Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
title_fullStr Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
title_full_unstemmed Thin minimal rim width at Bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
title_sort thin minimal rim width at bruch’s membrane opening is associated with glaucomatous paracentral visual field loss
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/2ece9c6247de4d43ab39a371866719ff
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