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Structural reversal of disc cupping after trabeculectomy alters Bruch’s membrane opening-based parameters to assess neuroretinal rim

American Journal of Ophthalmology Jul 28, 2018

Gietzelt C, et al. - Authors evaluated the effect of trabeculectomy for glaucoma on morphometric neuroretinal parameters of the optic nerve head (ONH) using spectral domain optical coherence tomography (SD-OCT). Bruch’s membrane opening-based parameters were markedly influenced by structural reversal of disc cupping after trabeculectomy for up to more than 1 year. Seemingly, an association between the improvement in morphometry and the reduction of IOP was noted, whilst visual field function appears to be uninfluenced. In the longitudinal follow-up of glaucoma patients by SD-OCT, the reflection of the bias caused by surgery was necessitated by the evaluation of BMO-based parameters.
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