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Klin Monbl Augenheilkd ; 234(4): 464-467, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28142162

ABSTRACT

Purpose To investigate the state of dark adaptation and macular blood flow in different forms of glaucoma. Methods Eighteen eyes of 18 patients with primary open-angle glaucoma, 14 eyes of 14 patients with pseudoexfoliation glaucoma, and 10 eyes of 10 patients with childhood glaucoma (CG) were examined by means of dark adaptometry, scanning-laser retinal flowmetry, and retinal tomography. Results All glaucomatous eyes had comparable optic disc excavation (one-way ANOVA, p = 0.138). Eyes with CG had significantly lower best-corrected visual acuity than the other groups (Tukey, all p < 0.0001). Macular perfusion was comparable in all three groups (one - way ANOVA, p = 0.08). The delay in rod-cone break time in the CG group was significantly higher than in the other groups (Tukey, all p < 0.0001). The scotopic sensitivity threshold in the CG group was significantly greater than in the other groups (Tukey, all p < 0.01). Conclusion This underlying dysfunction of dark adaptation may contribute, at least to some extent, to the decreased visual perception observed in patients with CG.


Subject(s)
Dark Adaptation , Exfoliation Syndrome/physiopathology , Glaucoma, Open-Angle/physiopathology , Vision Disorders/physiopathology , Visual Acuity , Visual Fields , Exfoliation Syndrome/complications , Exfoliation Syndrome/diagnosis , Female , Glaucoma, Open-Angle/complications , Glaucoma, Open-Angle/diagnosis , Humans , Male , Middle Aged , Vision Disorders/diagnosis , Vision Disorders/etiology , Visual Field Tests
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