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Clinical science
Disc haemorrhage is associated with the fast component, but not the slow component, of visual field decay rate in glaucoma
  1. Joon Mo Kim1,2,
  2. Haksu Kyung2,3,
  3. Parham Azarbod2,4,
  4. Jun Mo Lee2,5,
  5. Joseph Caprioli2
  1. 1Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea
  2. 2Department of Ophthalmology, Jules Stein Eye Institute, University of California Los Angeles School of Medicine, Los Angeles, California, USA
  3. 3Department of Ophthalmology, National Medical Center, Seoul, Korea
  4. 4Moorfields Eye Hospital, London, UK
  5. 5Siloam eye hospital, Seoul, Korea
  1. Correspondence to Dr Joseph Caprioli, Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90025, USA; caprioli{at}ucla.edu

Abstract

Background/aims To investigate the association of disc haemorrhage (DH) with regional visual field (VF) decay in glaucoma.

Methods Retrospective longitudinal study was performed. Patients from the University of California, Los Angeles, glaucoma database were assigned to two groups based on the presence or absence of a DH. Pointwise exponential regression was used to identify the fast and slow rate components of VF decay. Associations between patient demographics, ocular and systemic factors, and visual field rates were analysed.

Results A total of 185 patients were included, 54 of whom were documented to have a DH at some point during their course. DH group had a higher female preponderance (p=0.017, OR 2.23), a higher incidence of peripapillary atrophy (p=0.002, OR 4.46), more advanced disease (p=0.016) and a higher fast rate component of VF decay (p<0.001) than non-DH group. With multivariate logistic regression analysis, only the fast rate component showed a statistically significant relationship with DH.

Conclusions The presence of DH is associated with a greater fast component rate of VF decay. The identification and monitoring of the fast component of VF decay may prove useful in the identification and management of glaucoma patients at high risk of progression.

  • Glaucoma

https://doi.org/10.1136/bjophthalmol-2013-304584

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