Evaluation of Glaucomatous Damage in the Fellow Eyes of Patients With Unilateral Retinal Vein Occlusion.

Yoon, Sam Young; Choi, Jaewan; Lee, Chang Hwan; Seong, Mincheol; Sung, Kyung Rim; Kook, Michael S

doi:2009.50.1.120

J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article

Original Article

Journal of the Korean Ophthalmological Society 2009;50(1):120-127.
DOI: https://doi.org/10.3341/jkos.2009.50.1.120 Published online January 15, 2009.

Evaluation of Glaucomatous Damage in the Fellow Eyes of Patients With Unilateral Retinal Vein Occlusion.

Sam Young Yoon, Jaewan Choi, Chang Hwan Lee, Mincheol Seong, Kyung Rim Sung, Michael S Kook

¹Department of Ophthalmolgy, University of Ulsan, Asan Medical Center, Seoul, Korea. mskook@amc.seoul.kr
²Han-Gil Eye Hospital, Incheon, Korea.
³Cheil Eye Hospital, Daegu, Korea.
⁴Hanyang University GURI Hospital, Guri-si, Gyeonggi-do, Korea.

단안 망막정맥폐쇄가 있는 환자의 반대쪽 안의 녹내장성 손상에 대한 고찰

윤삼영¹ㆍ최재완²ㆍ이창환³ㆍ성민철⁴ㆍ성경림¹ㆍ국문석¹

Department of Ophthalmolgy, University of Ulsan, Asan Medical Center¹, Seoul, Korea / Han-Gil Eye Hospital², Incheon, Korea / Cheil Eye Hospital³, Daegu, Korea / Hanyang University GURI Hospital⁴, Guri-si, Gyeonggi-do, Korea

Abstract

PURPOSE
To investigate the visual field (VF) and retinal nerve fiber layer (RNFL) status of the fellow eyes in patients with unilateral retinal vein occlusion (RVO). METHODS: Fifty patients with unilateral RVO and 35 normal control subjects wereconsecutively recruited. Humphrey VF parameters and RNFL status using scanning laser polarimetry with variable corneal compensation (GDx-VCC) were compared between the fellow eyes of the patients with unilateral RVO and control eyes. We also assessed the risk factors for the development of glaucomatous damage in the fellow eyes of unilateral RVO patients. RESULTS: Twelve fellow eyes out of 50 patients with unilateral RVO showed glaucomatous VF and RNFL changes assessed by GDx-VCC. VF indices and RNFL thickness parameters in the study group were significantly lower than those in the control group (p<0.05). Increased age and vertical cup-to-disc ratio were significantly associated with severity of VF and RNFL damage in the fellow eye of unilateral RVO patients (p<0.05). CONCLUSIONS: The fellow eyes in patients with unilateral RVO showed significantly worse VF indices and lower RNFL thickness than normal control eyes. The glaucomatous change should be carefully monitored in the fellow eyes of unilateral RVO patients.

Key Words: BRVO;CRVO;Fellow eye;Glaucoma;Retinal vein occlusion