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Clinical science
Impact of peripapillary retinoschisis on visual field test results in glaucomatous eyes
  1. Ji-Ah Kim1,
  2. Eun Ji Lee2,
  3. Tae-Woo Kim2
  1. 1 Department of Ophthalmology, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea
  2. 2 Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
  1. Correspondence to Dr Tae-Woo Kim, Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of); twkim7{at}snu.ac.kr

Abstract

Background/Aims To investigate the influence of peripapillary retinoschisis (PRS) on visual field (VF) test results in patients with primary open angle glaucoma (POAG).

Methods Thirty eyes of 30 patients with POAG who had PRS at least once were included. All eyes were followed-up for a minimum 5 years at 4–6-month intervals. The occurrence of PRS was determined by circumpapillary retinal nerve fibre layer B-scan on spectral-domain optical coherence tomography (OCT). The global and regional VF deviations just prior to and immediately after PRS formation, or just prior to and immediately after PRS resolution (if it occurred), were compared. VF sensitivity within the region corresponding to the OCT sector where PRS occurred was determined according to the Garway-Heath map.

Results Global MD (p=0.345) and regional VF deviations (p=0.255) did not differ significantly between immediately after and just prior to PRS formation. Global MD (p=0.846) and regional VF deviations (p=0.758) were also similar between immediately after and just prior to PRS resolution.

Conclusion PRS has no short-term effect on the VF sensitivity. Therefore, VF test can still be useful for evaluating glaucomatous damage even in the presence of PRS compared with OCT.

  • Glaucoma
  • Field of vision

Data availability statement

Data are available upon reasonable request.

https://doi.org/10.1136/bjophthalmol-2021-320509

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    Data availability statement

    Data are available upon reasonable request.

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    Footnotes

    • Contributors Study concept and design: J-AK and T-WK. Acquisition, analysis or interpretation of data: all authors. Providing materials: EJL and T-WK. Statistical analysis: J-AK. Drafting of the manuscript: J-AK and T-WK. T-WK had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. T-WK is guarantor.

    • Funding This research was supported by a grant of Patient-Centered Clinical Research Coordinating Center funded by the Ministry of Health & Welfare, Republic of Korea (grant numbers: HI19C0481, HC19C0276) and Seoul National University Bundang Hospital Research fund (grant number: 16-2017-0001).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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