We investigated the characteristics of localized vessel density defects (VD) either in the deep or superficial vascular layer of normal-tension glaucoma patients using optical coherence tomography angiography (OCTA). In this retrospective, cross-sectional study, 74 eyes with localized retinal nerve fiber layer (RNFL) defect were included. The relationships between the widths of the VD in the superficial and deep layer and ocular factors were evaluated. Eyes with greater deep VD were significantly older (P = 0.023). Baseline and treated IOPs were significantly related to the width of the deep VD (P=0.009 and 0.014, respectively). By contrast, average ganglion cell inner plexiform layer thickness (GCIPLT) was substantially related to the width of the superficial VD (Both Ps=0.004). In logistic regression analysis, aging was noticeably associated with wider deep VD, whereas worse pattern standard deviation (PSD) had a significant association with wider superficial VD (Both Ps=0.001). In sum, while changes of the superficial layer seemed an overall ramification of glaucomatous damages, the deep layer was more likely to be affected by factors related to ocular microcirculation, such as IOPs and older age. Thus, looking into the deep vascular layer using OCTA could identify risk factors related to the disturbance in ocular microcirculation.

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Posted 15 Jan, 2021
On 10 Mar, 2021
Received 09 Mar, 2021
On 08 Mar, 2021
Received 15 Feb, 2021
On 01 Feb, 2021
Invitations sent on 28 Jan, 2021
On 27 Jan, 2021
On 12 Jan, 2021
On 12 Jan, 2021
On 30 Dec, 2020
Posted 15 Jan, 2021
On 10 Mar, 2021
Received 09 Mar, 2021
On 08 Mar, 2021
Received 15 Feb, 2021
On 01 Feb, 2021
Invitations sent on 28 Jan, 2021
On 27 Jan, 2021
On 12 Jan, 2021
On 12 Jan, 2021
On 30 Dec, 2020
We investigated the characteristics of localized vessel density defects (VD) either in the deep or superficial vascular layer of normal-tension glaucoma patients using optical coherence tomography angiography (OCTA). In this retrospective, cross-sectional study, 74 eyes with localized retinal nerve fiber layer (RNFL) defect were included. The relationships between the widths of the VD in the superficial and deep layer and ocular factors were evaluated. Eyes with greater deep VD were significantly older (P = 0.023). Baseline and treated IOPs were significantly related to the width of the deep VD (P=0.009 and 0.014, respectively). By contrast, average ganglion cell inner plexiform layer thickness (GCIPLT) was substantially related to the width of the superficial VD (Both Ps=0.004). In logistic regression analysis, aging was noticeably associated with wider deep VD, whereas worse pattern standard deviation (PSD) had a significant association with wider superficial VD (Both Ps=0.001). In sum, while changes of the superficial layer seemed an overall ramification of glaucomatous damages, the deep layer was more likely to be affected by factors related to ocular microcirculation, such as IOPs and older age. Thus, looking into the deep vascular layer using OCTA could identify risk factors related to the disturbance in ocular microcirculation.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5
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