Parameters associated with papillomacular bundle defects in glaucoma

Abstract

To evaluate the relationship between the papillomacular bundle defect and glaucoma types, abnormalities of the optic disc, distance between the disc and foveola, and axial length, we examined one eye of 82 patients with normal tension glaucoma, 117 patients with chronic high tension glaucoma, and 102 controls. Two types (diffuse and focal types) were found in the papillomacular bundle defect, and the former predominated. Eyes with a long axial length (P < 0.01), a diagnosis of normal tension glaucoma (P < 0.05), or a large optic disc (P < 0.05) tended to have diffuse-type papillomacular bundle defects, while eyes with a short axial length, a diagnosis of high tension glaucoma, or a large ovalness index are less likely to have it. Thus, a long axial length, a large optic disc, and normal tension glaucoma are risk factors for the diffuse-type papillomacular bundle defect.