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To explore the association between peripapillary atrophy (PPA) area and conversion from ocular hypertension (OHT) to glaucoma.Prospective, longitudinal cohort study of cases and controls.We included 279 age-matched and follow-up time-matched eyes with OHT that converted to glaucoma and 279 eyes with OHT that did not convert to glaucoma.Initial and last acceptable optic disc photos were analyzed. Disc, α-zone, and β-zone PPA were traced independently by 2 trained readers and their areas were measured with Photoshop. The α-zone and β-zone areas were expressed as a percentage of optic disc area.α-Zone and β-zone PPA size over time.Intraclass correlation coefficients (ICCs) demonstrated that readers had good agreement on disc area (ICC = 0.97) and β-zone (ICC = 0.82), but not α-zone (ICC = 0.48). The ß-zone, as a percentage of disc area, increased in size (P < 0.001) in both eyes with incident primary open-angle glaucoma (mean, 10.6

作者:Eleonore, Savatovsky;Jean-Claude, Mwanza;Donald L, Budenz;William J, Feuer;Ruth, Vandenbroucke;Joyce C, Schiffman;Douglas R, Anderson

来源:Ophthalmology 2015 年 122卷 1期

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作者:
Eleonore, Savatovsky;Jean-Claude, Mwanza;Donald L, Budenz;William J, Feuer;Ruth, Vandenbroucke;Joyce C, Schiffman;Douglas R, Anderson
来源:
Ophthalmology 2015 年 122卷 1期
To explore the association between peripapillary atrophy (PPA) area and conversion from ocular hypertension (OHT) to glaucoma.Prospective, longitudinal cohort study of cases and controls.We included 279 age-matched and follow-up time-matched eyes with OHT that converted to glaucoma and 279 eyes with OHT that did not convert to glaucoma.Initial and last acceptable optic disc photos were analyzed. Disc, α-zone, and β-zone PPA were traced independently by 2 trained readers and their areas were measured with Photoshop. The α-zone and β-zone areas were expressed as a percentage of optic disc area.α-Zone and β-zone PPA size over time.Intraclass correlation coefficients (ICCs) demonstrated that readers had good agreement on disc area (ICC = 0.97) and β-zone (ICC = 0.82), but not α-zone (ICC = 0.48). The ß-zone, as a percentage of disc area, increased in size (P < 0.001) in both eyes with incident primary open-angle glaucoma (mean, 10.6