Comparison of glaucomatous optic nerve damage in primary angle-closure glaucoma with and without acute attack.
OBJECTIVE
To compare the glaucomatous optic nerve damage in primary angle-closure glaucoma (PACG) with acute attack (acute PACG; AACG) and PACG without acute attack (chronic PACG; CACG).


METHODS
The study subjects were 84 normal individuals, 130 AACG patients, and 86 CACG patients. Color optic disc photographs were evaluated for the presence or absence of 10 qualitative signs to differentiate between normal and glaucomatous optic discs.


RESULTS
Abnormally shaped rim width (alteration of ISN'T rule), bared circumlinear vessel, vessel bayonetting, rim width narrower than the temporal sector, and zone beta (nasal and superotemporal sectors) were detected more frequently in the CACG group than in the AACG group (P<0.05). The most accurate qualitative sign was abnormally shaped rim width in both groups. The specificity and sensitivity of abnormally shaped rim width were 71.4% and 60.8% for AACG, and 71.4% and 81.4% for CACG, respectively.


CONCLUSIONS
The optic disc damage is greater in CACG than in AACG.
Uhm
Ki Bang
KB
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. KBUhm@hanyang.ac.kr
Lee
Jeong Min
JM
Sung
Hyun Kyung
HK
D000208:Acute Disease; D000368:Aged; D002908:Chronic Disease; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000473:pathology*