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Updated: Jun 13, 2025

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
Implications of optic disc rotation in the visual field progression of myopic open-angle glaucoma
Pei-Ning Tu1,2,3, Chih-Heng Hung1,2, Yi-Chun Chen4,5
1Department of Ophthalmology, Cathay General Hospital, 280, Section 4, Ren-Ai Rd, Taipei, Taiwan, 106.
Purpose:
To investigate the relationship between the characteristics of optic disc rotation and visual field (VF) progression in patients with myopic open-angle glaucoma (OAG).
Methods:
We included 53 eyes from 53 myopic OAG patients who were followed-up over a 3-year period. The characteristics of optic disc rotation including the degree of optic disc rotation, direction of optic disc rotation, and optic disc rotation-VF defect correspondence were investigated. The rates of global and regional VF progression were compared with different characteristics of optic disc rotation.
Results:
Thirty-seven eyes (69.8%) showed inferior optic disc rotation and 41 (77.4%) eyes showed optic disc rotation-VF defect correspondence. The inferiorly rotated optic discs with corresponding superior VF defect had faster VF progression in the superior peripheral region (P = 0.028) and superiorly rotated optic discs with corresponding inferior VF defect had faster VF progression in the inferior peripheral region (P = 0.031). The VF progression was restricted to the superior hemifield in the eyes with inferiorly rotated optic discs and corresponding superior VF defects.
Conclusion:
In myopic OAG patients, the direction of optic disc rotation might predict faster VF progression in the corresponding peripheral region.
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