PMID- 18344754 OWN - NLM STAT- MEDLINE DCOM- 20080520 LR - 20161124 IS - 1057-0829 (Print) IS - 1057-0829 (Linking) VI - 17 IP - 2 DP - 2008 Mar TI - Optic nerve head drusen and visual field loss in normotensive and hypertensive eyes. PG - 100-4 LID - 10.1097/IJG.0b013e31814b995a [doi] AB - OBJECTIVE: To compare visual field loss (VFL) in eyes with optic nerve head drusen (ONHD) with or without ocular hypertension (OHT). METHODS: The records of all patients aged 45 years or older with a diagnosis of ONHD at 2 centers were reviewed. OHT was defined as intraocular pressure >or=22 mm Hg. We categorized ONHD into 3 grades based on visibility on disc photographs. RESULTS: We identified 22 eyes (13 patients) with both ONHD and OHT and 81 normotensive eyes (47 patients) with ONHD. VFL was present in 20/22 (90.9%) of hypertensive eyes compared with 54/81 (66.7%) of normotensive eyes (P=0.03, Fisher exact test). Drusen grade III and OHT were both independently and significantly associated with greater incidence of VFL (logistic regression analysis). CONCLUSIONS: VFL occurs more frequently in eyes with ONHD that also have OHT. Eyes with grade III ONHD are at increased risk for VFL compared to eyes with grade I drusen with the same intraocular pressure status. Patients with OHT and ONHD should undergo close surveillance for disease progression and be treated appropriately to prevent additional VFL. FAU - Grippo, Tomas M AU - Grippo TM AD - Einhorn Clinical Research Center, The New York Eye and Ear Infirmary, New York, USA. FAU - Shihadeh, Wisam A AU - Shihadeh WA FAU - Schargus, Marc AU - Schargus M FAU - Gramer, Eugen AU - Gramer E FAU - Tello, Celso AU - Tello C FAU - Liebmann, Jeffrey M AU - Liebmann JM FAU - Ritch, Robert AU - Ritch R LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Glaucoma JT - Journal of glaucoma JID - 9300903 SB - IM EIN - J Glaucoma. 2010 Feb;19(2):150 MH - Female MH - Humans MH - Intraocular Pressure MH - Male MH - Middle Aged MH - Ocular Hypertension/*complications/diagnosis/physiopathology MH - Optic Disk Drusen/*complications/diagnostic imaging/physiopathology MH - Ultrasonography MH - Vision Disorders/*complications/diagnosis/physiopathology MH - Visual Field Tests MH - *Visual Fields EDAT- 2008/03/18 09:00 MHDA- 2008/05/21 09:00 CRDT- 2008/03/18 09:00 PHST- 2008/03/18 09:00 [pubmed] PHST- 2008/05/21 09:00 [medline] PHST- 2008/03/18 09:00 [entrez] AID - 00061198-200803000-00003 [pii] AID - 10.1097/IJG.0b013e31814b995a [doi] PST - ppublish SO - J Glaucoma. 2008 Mar;17(2):100-4. doi: 10.1097/IJG.0b013e31814b995a.