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Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients

Received: 18 November 2020    Accepted: 11 December 2020    Published: 10 February 2021
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Abstract

Objectives: To evaluate the correlation between glaucomatous structural change using vertical-cup-disc ratio of the optic nerve head and functional loss measured by Frequency Doubling Technology perimetry. Materials and methods: It was a retrospective observational clinic-based study of 77 newly diagnosed Primary Open Angle Glaucoma (POAG) patients from a Private Eye clinic in a suburb of Port Harcourt city, Nigeria. They underwent clinical fundal examination with slit-lamp biomicroscope (Perkin’s slit-lamp) with 90D (Volk) lens; and Frequency Doubling Technology perimetry 24-2 threshold (Humphrey Matrix 800, 2011 Carl Zeiss Meditec, Dublin, California). The Vertical-cup-disc-ratio was assessed for each eye and the Mean deviation calculated for each eye. The relationship between VCDR and mean deviation was evaluated using Pearson’s correlation coefficient regression analysis. Result: There were 24 males (31.17%) and 53 females (68.83%). The mean age of the patients was 56.65 ± 14.33 years with a range of 37-78 years. The mean VCDR was 0.83±0.09 and 0.78±0.13 for the right and left eyes, respectively while mean FDT mean deviation was -13.99±9.33Db and -11.9.22Db for the right and left eyes, respectively. The VCDR significantly correlated with FDT mean deviation (Pearson Correlation Coefficient, r= -0.923, r2= 0.852, p-value=0.001 for the right eye; r= -0.915, r2=0.836, p-value=0.001 for the left eye. Conclusion: This study shows that at least 80% of VCDR correlated with the Mean deviation of matrix FDT amongst this cohort of POAG patients. it buttresses the fact that clinical evaluation of the optic nerve remains an indispensable tool in glaucoma diagnosis and can use to assess glaucoma severity in resource poor setting where visual field machine is not available.

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 1)
DOI 10.11648/j.ijovs.20210601.13
Page(s) 17-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Correlation, Vertical-cup-disc-ratio, FDT Mean Deviation, Primary Open-angle Glaucoma

References
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  • APA Style

    Nathaniel Godswill Inye, Pepple Godswill. (2021). Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients. International Journal of Ophthalmology & Visual Science, 6(1), 17-21. https://doi.org/10.11648/j.ijovs.20210601.13

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    ACS Style

    Nathaniel Godswill Inye; Pepple Godswill. Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients. Int. J. Ophthalmol. Vis. Sci. 2021, 6(1), 17-21. doi: 10.11648/j.ijovs.20210601.13

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    AMA Style

    Nathaniel Godswill Inye, Pepple Godswill. Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients. Int J Ophthalmol Vis Sci. 2021;6(1):17-21. doi: 10.11648/j.ijovs.20210601.13

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  • @article{10.11648/j.ijovs.20210601.13,
      author = {Nathaniel Godswill Inye and Pepple Godswill},
      title = {Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {6},
      number = {1},
      pages = {17-21},
      doi = {10.11648/j.ijovs.20210601.13},
      url = {https://doi.org/10.11648/j.ijovs.20210601.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210601.13},
      abstract = {Objectives: To evaluate the correlation between glaucomatous structural change using vertical-cup-disc ratio of the optic nerve head and functional loss measured by Frequency Doubling Technology perimetry. Materials and methods: It was a retrospective observational clinic-based study of 77 newly diagnosed Primary Open Angle Glaucoma (POAG) patients from a Private Eye clinic in a suburb of Port Harcourt city, Nigeria. They underwent clinical fundal examination with slit-lamp biomicroscope (Perkin’s slit-lamp) with 90D (Volk) lens; and Frequency Doubling Technology perimetry 24-2 threshold (Humphrey Matrix 800, 2011 Carl Zeiss Meditec, Dublin, California). The Vertical-cup-disc-ratio was assessed for each eye and the Mean deviation calculated for each eye. The relationship between VCDR and mean deviation was evaluated using Pearson’s correlation coefficient regression analysis. Result: There were 24 males (31.17%) and 53 females (68.83%). The mean age of the patients was 56.65 ± 14.33 years with a range of 37-78 years. The mean VCDR was 0.83±0.09 and 0.78±0.13 for the right and left eyes, respectively while mean FDT mean deviation was -13.99±9.33Db and -11.9.22Db for the right and left eyes, respectively. The VCDR significantly correlated with FDT mean deviation (Pearson Correlation Coefficient, r= -0.923, r2= 0.852, p-value=0.001 for the right eye; r= -0.915, r2=0.836, p-value=0.001 for the left eye. Conclusion: This study shows that at least 80% of VCDR correlated with the Mean deviation of matrix FDT amongst this cohort of POAG patients. it buttresses the fact that clinical evaluation of the optic nerve remains an indispensable tool in glaucoma diagnosis and can use to assess glaucoma severity in resource poor setting where visual field machine is not available.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Correlation of Vertical Cup Disc Ratio and Matrix FDT Mean Deviation in Primary Open Angle Glaucoma Patients
    AU  - Nathaniel Godswill Inye
    AU  - Pepple Godswill
    Y1  - 2021/02/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijovs.20210601.13
    DO  - 10.11648/j.ijovs.20210601.13
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 17
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20210601.13
    AB  - Objectives: To evaluate the correlation between glaucomatous structural change using vertical-cup-disc ratio of the optic nerve head and functional loss measured by Frequency Doubling Technology perimetry. Materials and methods: It was a retrospective observational clinic-based study of 77 newly diagnosed Primary Open Angle Glaucoma (POAG) patients from a Private Eye clinic in a suburb of Port Harcourt city, Nigeria. They underwent clinical fundal examination with slit-lamp biomicroscope (Perkin’s slit-lamp) with 90D (Volk) lens; and Frequency Doubling Technology perimetry 24-2 threshold (Humphrey Matrix 800, 2011 Carl Zeiss Meditec, Dublin, California). The Vertical-cup-disc-ratio was assessed for each eye and the Mean deviation calculated for each eye. The relationship between VCDR and mean deviation was evaluated using Pearson’s correlation coefficient regression analysis. Result: There were 24 males (31.17%) and 53 females (68.83%). The mean age of the patients was 56.65 ± 14.33 years with a range of 37-78 years. The mean VCDR was 0.83±0.09 and 0.78±0.13 for the right and left eyes, respectively while mean FDT mean deviation was -13.99±9.33Db and -11.9.22Db for the right and left eyes, respectively. The VCDR significantly correlated with FDT mean deviation (Pearson Correlation Coefficient, r= -0.923, r2= 0.852, p-value=0.001 for the right eye; r= -0.915, r2=0.836, p-value=0.001 for the left eye. Conclusion: This study shows that at least 80% of VCDR correlated with the Mean deviation of matrix FDT amongst this cohort of POAG patients. it buttresses the fact that clinical evaluation of the optic nerve remains an indispensable tool in glaucoma diagnosis and can use to assess glaucoma severity in resource poor setting where visual field machine is not available.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

  • Rivers State University Teaching Hospital, Port Harcourt, Nigeria

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