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• W4380677272 abstract "Purpose : To identify factors associated with the development of epiretinal membranes (ERM) in glaucoma patients. Design Multicenter, propensity-score matched, case-control study. Methods : One hundred ninety-two eyes of 192 patients with glaucoma from the Catholic Medical Center Glaucoma Suspect Cohort Study were analyzed. We identified 64 eyes who developed ERM from the cohort and 128 eyes without ERM were selected by propensity score matching (1:2) according to baseline age and mean deviation (MD) of the visual field (VF). Demographic, systemic, and ocular characteristics were determined at baseline. Intraocular pressure (IOP) was measured, including baseline, mean IOP, and IOP fluctuation . Early-stage ERM, defined as translucent membrane with no underlying retinal distortion, was detected by fundus photography and optical coherence tomography. Eyes that developed VF defects in either/both hemifields or showed increasing three abnormal points within 24 points of a central 10° of fixation were considered to show central VF progression. Autonomic nervous system status was evaluated by heart rate variability (HRV). Results : Patients who developed ERM were more frequently receiving medication for systemic hypertension and had higher systolic blood pressure, greater IOP fluctuation, more frequent disc hemorrage (DH), worse VF MD, and a higher rate of central VF progression than patients without ERM. Additionally, patients with early glaucoma who developed ERM had higher rate of autonomic imbalance while patients with moderate-to-advanced glaucoma who developed ERM had greater baseline and peak IOP and worse MD of the last follow-up VF (MD < 6.0 dB). Older age (P = 0.048), medication for systemic hypertension (P < 0.001), IOP fluctuation (P < 0.001), presence of DH (P < 0.001), and worse last MD of VF (P = 0.033) were significantly associated with ERM in Cox proportional hazard analysis. Conclusions : Early stage of ERMs in glaucomatous eyes are significantly associated with glaucoma progression, medication of systemic hypertension, presence of DH, and IOP fluctuation. These suggest that glaucoma patients who develop early stage of ERMs should be carefully monitored in terms of IOP fluctuation, vascular factors, and glaucoma progression." @default.
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• W4380677272 date "2023-06-01" @default.
• W4380677272 modified "2023-10-14" @default.
• W4380677272 title "Fluctuation of Intraocular Pressure and Vascular Factors are associated with the Development of Epiretinal Membrane in Glaucoma" @default.
• W4380677272 doi "https://doi.org/10.1016/j.ajo.2023.06.001" @default.
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