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Asymmetric Glaucoma and Corresponding Hearing Impairment.
Laura Antonia Meliante1, Giulia Coco1, Beatrice Francavilla2
1Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Journal of Clinical Medicine
|November 9, 2024
Summary
This study suggests a link between asymmetric glaucoma and hearing loss in the same ear, especially at speech frequencies. Early assessment of both vision and hearing is crucial for glaucoma patients to improve their quality of life.
Area of Science:
- Ophthalmology
- Audiology
- Neuroscience
Background:
- Glaucoma is a progressive optic neuropathy.
- Unilateral or asymmetric glaucoma affects vision unevenly.
- Concurrent sensory impairments require investigation.
Purpose of the Study:
- To investigate the association between unilateral or asymmetric glaucoma and ipsilateral hearing impairment.
- To explore correlations between visual function parameters and hearing thresholds.
Main Methods:
- Retrospective analysis of visual and hearing function in glaucoma patients.
- Correlation analysis of retinal nerve fiber layer thickness, visual field mean deviation (MD), and pure tone audiometry (PTA).
- Statistical comparison of hearing thresholds between ipsilateral and contralateral ears.
Main Results:
- Significant hearing threshold differences were found at speech frequencies (0.7-4 kHz) between ears ipsilateral to more affected glaucomatous eyes and contralateral ears.
- A moderate positive correlation was observed between visual field MD differences and PTA values at 0.125 kHz.
- Twenty-six patients with unilateral or asymmetric glaucoma were included.
Conclusions:
- A potential association exists between unilateral/asymmetric glaucoma and ipsilateral hearing impairment, particularly at speech frequencies.
- Integrated sensory assessment is vital for glaucoma management.
- Early detection of hearing loss in glaucoma patients may improve quality of life.
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