Relationship between optic disc cupping change and intraocular pressure control in adult glaucoma patients

Eitan Z. Rath, Dong H. Shin, Chaesik Kim, Clark S. Tsai, John H. Zeiter, Young J. Hong

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background: Until recently, there has been a paucity of quantitative evidence for intraocular pressure (IOP)-dependent optic disc cupping change in adult glaucoma patients. Therefore, we investigated the relationship between optic disc cupping change and IOP control. Methods: The study involved 78 eyes of 78 randomly selected adult patients with early to moderate chronic open-angle glaucoma (CO-AG), treated on various therapeutic regimens, who had had two consecutive successful optic disc analyses with the Rodenstock Optic Nerve Head Analyzer 15.8 ± 14.8 weeks apart. Results: The mean initial IOP of 27 eyes (34%) with cupping reversal did not differ from that of 17 eyes (22%) demonstrating progressive deterioration (29.2 ± 8.8 vs 26.2 ± 6.1 mmHg, P > 0.5), but the reversal group did have a significantly greater mean IOP decrease than the progression group (-10.8 ± 7.9 vs 1.0 ± 7.7 mmHg, P < 0.001) and significantly lower mean final IOP (18.3 ± 6.1 vs 25.2 ± 7.9 mmHg, P < 0.003). Conclusion: A decrease of optic disc cupping is more likely with a greater IOP reduction and a lower final IOP, and an increase of cupping is more likely with less or no IOP reduction and a higher final IOP.

Original languageEnglish
Pages (from-to)434-439
Number of pages6
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume234
Issue number7
DOIs
StatePublished - Jul 1996
Externally publishedYes

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