Abstract
Purpose: The aim of this study is to investigate the structure–function characteristics and vision-related quality of life (VR-QoL) in uveitic glaucoma (UG) compared with open-angle glaucoma (OAG). Method: The study included 69 patients with UG and 138 patients with primary open angle glaucoma, normal-tension glaucoma. A 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) was used to evaluate the patients’ VR-QoL. The retinal nerve fiber layer thickness (RNFLT) was measured using optical coherence tomography, and the integrated visual field (IVF) was determined using the best location method. Results: There were no significant differences in the binocular IVF and mean deviation (MD) of the affected eye between the OAG and UG group, whereas the average RNFLT was significant thinner in the OAG group (p = 0.008). The patients with UG showed a significantly lower composite score and five subscales of the VFQ-25, compared with those with OAG (p < 0.05, for all, general linear model). Multivariate linear regression analyses showed that the composite score showed the strongest associations with the whole IVF (β = 1.240, p < 0.001) in the OAG group, whereas in the UG group, a significant association was seen only with the inferior VF of the affected eye (β = 0.596, p = 0.038). Conclusions: The eyes with UG exhibited distinctive structure–function characteristics and worse VR-QoL that differentiated them from OAG eyes.
Highlights
Uveitis, which is the most common inflammatory ocular disorder, involves inflammation of the middle layer of the eye [1,2]
Patients with uveitis suffer from decreased subjective visual function due to low visual acuity (VA) and visual field (VF) damage in the affected eye; this can lead to depression [8,9]
We investigated the structure–function relationship and subjective visual function in patients with glaucoma secondary to recurrent anterior uveitis and open-angle glaucoma (OAG)
Summary
Uveitis, which is the most common inflammatory ocular disorder, involves inflammation of the middle layer of the eye [1,2]. Uveitis can lead to permanent vision loss [3,4]. Glaucoma secondary to uveitis is one of the important causes of irreversible sight loss in glaucoma, which is challenging to detect and manage [6,7]. Patients with uveitis suffer from decreased subjective visual function due to low visual acuity (VA) and visual field (VF) damage in the affected eye; this can lead to depression [8,9]. Greater VF loss and bilateral involvement are associated with a poorer VR-QoL [10]. The function of the healthier eye and binocular integrated visual field (IVF)
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