Abstract
Purpose
To compare the topographic characteristics of myopic and nonmyopic disc hemorrhage (DH) in primary open-angle glaucoma.
Methods
Patients were assigned to the myopic DH group (spherical equivalent of −1.0 diopters or less) or to the nonmyopic DH group (emmetropia and hyperopia). DH was classified as lamina cribrosa-, cup margin-, disc rim-, or peripapillary-type DH according to its proximal location. The DH types of the two groups were compared using Fisher's exact test. Multivariate logistic regression was used to evaluate the factors associated with myopia.
Results
Thirty-four eyes were assigned to the myopic DH group and 42 eyes to the nonmyopic DH group. A significantly higher proportion (32.4 %) of lamina cribrosa-type DH was found in the myopic DH group than in the nonmyopic DH group (4.8 %; P = 0.008). Eyes with lamina cribrosa-type DH were 12.59 times more likely to be myopic than were eyes with peripapillary-type DH (95 % CI: 1.22–129.53; P = 0.033).
Conclusions
Lamina cribrosa-type DH was significantly more common in myopic eyes than in nonmyopic eyes. This result suggests that the pathogenesis of DH may differ between myopic DH and nonmyopic DH.
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References
Kim SH, Park KH. The relationship between recurrent optic disc hemorrhage and glaucoma progression. Ophthalmology. 2006;113:598–602.
Suh MH, Park KH, Kim H, Kim TW, Kim SW, Kim SY, et al. Glaucoma progression after the first-detected optic disc hemorrhage by optical coherence tomography. J Glaucoma. 2012;21:358–66.
Ishida K, Yamamoto T, Sugiyama K, Kitazawa Y. Disk hemorrhage is a significantly negative prognostic factor in normal-tension glaucoma. Am J Ophthalmol. 2000;129:707–14.
Drance S, Anderson DR, Schulzer M. Risk factors for progression of visual field abnormalities in normal-tension glaucoma. Am J Ophthalmol. 2001;131:699–708.
Bengtsson B, Leske MC, Yang Z, Heijl A. Disc hemorrhages and treatment in the early manifest glaucoma trial. Ophthalmology. 2008;115:2044–8.
Sonnsjo B, Dokmo Y, Krakau T. Disc haemorrhages, precursors of open angle glaucoma. Prog Retin Eye Res. 2002;21:35–56.
Saw SM, Gazzard G, Shih-Yen EC, Chua WH. Myopia and associated pathological complications. Ophthalmic Physiol Opt. 2005;25:381–91.
Nakazawa T, Fuse N, Omodaka K, Aizawa N, Kuwahara S, Nishida K. Different types of optic disc shape in patients with advanced open-angle glaucoma. Jpn J Ophthalmol. 2010;54:291–5.
Knapp A. Glaucoma in myopic eyes. Trans Am Ophthalmol Soc. 1925;23:61–70.
Perkins ES, Phelps CD. Open angle glaucoma, ocular hypertension, low-tension glaucoma, and refraction. Arch Ophthalmol. 1982;100:1464–7.
Mastropasqua L, Lobefalo L, Mancini A, Ciancaglini M, Palma S. Prevalence of myopia in open angle glaucoma. Eur J Ophthalmol. 1992;2:33–5.
Kim M, Kim TW, Park KH, Kim JM. Risk factors for primary open-angle glaucoma in South Korea: the Namil study. Jpn J Ophthalmol. 2012;56:324–9.
Jonas JB, Budde WM. Optic nerve damage in highly myopic eyes with chronic open-angle glaucoma. Eur J Ophthalmol. 2005;15:41–7.
Jonas JB, Berenshtein E, Holbach L. Lamina cribrosa thickness and spatial relationships between intraocular space and cerebrospinal fluid space in highly myopic eyes. Invest Ophthalmol Vis Sci. 2004;45:2660–5.
Jonas JB, Berenshtein E, Holbach L. Anatomic relationship between lamina cribrosa, intraocular space, and cerebrospinal fluid space. Invest Ophthalmol Vis Sci. 2003;44:5189–95.
Kim YD, Han SB, Park KH, Kim SH, Kim SJ, Seong M, et al. Risk factors associated with optic disc haemorrhage in patients with normal tension glaucoma. Eye (Lond). 2010;24:567–72.
Hendrickx KH, van den Enden A, Rasker MT, Hoyng PF. Cumulative incidence of patients with disc hemorrhages in glaucoma and the effect of therapy. Ophthalmology. 1994;101:1165–72.
Budenz DL, Anderson DR, Feuer WJ, Beiser JA, Schiffman J, Parrish RK 2nd, et al. Detection and prognostic significance of optic disc hemorrhages during the Ocular Hypertension Treatment Study. Ophthalmology. 2006;113:2137–43.
Bito LZ. Impact of intraocular pressure on venous outflow from the globe: a hypothesis regarding IOP-dependent vascular damage in normal-tension and hypertensive glaucoma. J Glaucoma. 1996;5:127–34.
Fong DS, Epstein DL, Allingham RR. Glaucoma and myopia: are they related? Int Ophthalmol Clin. 1990;30:215–8.
Yasuzumi K, Ohno-Matsui K, Yoshida T, Kojima A, Shimada N, Futagami S, et al. Peripapillary crescent enlargement in highly myopic eyes evaluated by fluorescein and indocyanine green angiography. Br J Ophthalmol. 2003;87:1088–90.
Kim TW, Kim M, Weinreb RN, Woo SJ, Park KH, Hwang JM. Optic disc change with incipient myopia of childhood. Ophthalmology. 2012;119:21–6.
Jonas JB. Role of cerebrospinal fluid pressure in the pathogenesis of glaucoma. Acta Ophthalmol. 2011;89:505–14.
Ohno-Matsui K, Shimada N, Yasuzumi K, Hayashi K, Yoshida T, Kojima A, et al. Long-term development of significant visual field defects in highly myopic eyes. Am J Ophthalmol. 2011;152(256–65):e1.
Begg IS, Drance SM, Sweeney VP. Ischaemic optic neuropathy in chronic simple glaucoma. Br J Ophthalmol. 1971;55:73–90.
Sonnsjo B, Krakau CE. Arguments for a vascular glaucoma etiology. Acta Ophthalmol (Copenh). 1993;71:433–44.
Quigley HA, Addicks EM, Green WR, Maumenee AE. Optic nerve damage in human glaucoma. II. The site of injury and susceptibility to damage. Arch Ophthalmol. 1981;99:635–49.
Krakau CE, Bengtsson B, Holmin C. The glaucoma theory updated. Acta Ophthalmol (Copenh). 1983;61:737–41.
Jonas JB, Xu L. Optic disk hemorrhages in glaucoma. Am J Ophthalmol. 1994;118:1–8.
Diehl DL, Quigley HA, Miller NR, Sommer A, Burney EN. Prevalence and significance of optic disc hemorrhage in a longitudinal study of glaucoma. Arch Ophthalmol. 1990;108:545–50.
Yamamoto T, Iwase A, Kawase K, Sawada A, Ishida K. Optic disc hemorrhages detected in a large-scale eye disease screening project. J Glaucoma. 2004;13:356–60.
Jonas JB, Fernandez MC, Sturmer J. Pattern of glaucomatous neuroretinal rim loss. Ophthalmology. 1993;100:63–8.
Siegner SW, Netland PA. Optic disc hemorrhages and progression of glaucoma. Ophthalmology. 1996;103:1014–24.
Miyake T, Sawada A, Yamamoto T, Miyake K, Sugiyama K, Kitazawa Y. Incidence of disc hemorrhages in open-angle glaucoma before and after trabeculectomy. J Glaucoma. 2006;15:164–71.
Uhler TA, Piltz-Seymour J. Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations. Curr Opin Ophthalmol. 2008;19:89–94.
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Kim, H.S., Park, K.H., Jeoung, J.W. et al. Comparison of myopic and nonmyopic disc hemorrhage in primary open-angle glaucoma. Jpn J Ophthalmol 57, 166–171 (2013). https://doi.org/10.1007/s10384-012-0209-5
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DOI: https://doi.org/10.1007/s10384-012-0209-5