Spontaneous retinal venous pulsation and disc hemorrhage in open-angle glaucoma.
OBJECTIVE
To investigate the relationship of spontaneous venous pulsation (SVP) with disc hemorrhage (DH) in open-angle glaucoma (OAG).


METHODS
Spontaneous venous pulsation was assessed and compared using a confocal scanning laser ophthalmoscope movie tool in 52 eyes of 52 patients with DH, and 111 eyes of 111 patients in without DH. Logistic regression analysis was used to determine the factors associated with the occurrence of DH.


RESULTS
The frequency of SVP was 60.7% in overall patients with OAG. The absence of SVP was associated with lower untreated IOP (OR 0.880; P = 0.045), longer axial length (OR 1.654; P = 0.007), and worse visual field mean deviation (OR 0.884; P = 0.035). The absence of SVP was not significantly associated with DH by logistic analysis (OR 0.844; P = 0.626). Better visual field mean deviation (OR 1.098; P = 0.043), lower untreated IOP (OR 0.886; P = 0.021), and the tendency to cold hands (OR 2.688; P = 0.032) were associated with DH.


CONCLUSIONS
In consecutive patients with OAG, the absence of SVP was not associated with DH.
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Mijin
M
Kim
Tae-Woo
TW
Kim
Robert N
RN
Weinreb
Eun Ji
EJ
Lee
Je Hyun
JH
Seo
D000368:Aged; D016022:Case-Control Studies; D005260:Female; D005902:Glaucoma, Open-Angle / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D016015:Logistic Models; D008297:Male; D018613:Microscopy, Confocal; D008875:Middle Aged; D009798:Ocular Hypertension / Q000503:physiopathology; D019721:Ophthalmoscopes; D011673:Pulsatile Flow / Q000502:physiology; D012166:Retinal Hemorrhage / Q000209:etiology* / Q000503:physiopathology; D012169:Retinal Vein / Q000503:physiopathology*; D012189:Retrospective Studies; D012307:Risk Factors
disc hemorrhage; open-angle glaucoma; spontaneous retinal venous pulsation