Evidence map›Paper›PMID 42802267›Full record

ArticleInternational ophthalmology2026

Risk stratification of visual field progression in optic disc drusen with and without glaucoma.

Rohit Y Reddy, Rongrui Liu, Wesam S Shalaby, Sagar J Shah, Kartik Kumar, Binod Acharya, Qiang Zhang, Joel S Schuman, Jonathan S Myers, Ping Huang

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Article in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Rohit Y ReddyGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Rongrui LiuUniversity of Pennsylvania, Philadelphia, PA, USA.
Wesam S ShalabyGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Sagar J ShahGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Kartik KumarPhiladelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Binod AcharyaBiostatistics Consulting Center, Wills Eye Hospital, Philadelphia, PA, USA.
Qiang ZhangBiostatistics Consulting Center, Wills Eye Hospital, Philadelphia, PA, USA.
Joel S SchumanGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Jonathan S MyersGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Ping HuangGlaucoma Service, Glaucoma Research Center, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA. phuang@willseye.org.ORCID https://orcid.org/0000-0002-7391-1441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the visual field (VF) progression in patients with optic disc drusen (ODD) with or without glaucoma and identify factors associated with rapid deterioration.

methodsIn this single-center retrospective cohort, adult patients with ODD, ≥ 12 months of follow-up, and ≥ 3 reliable standard automated perimetry tests were included. VF progression was quantified as the VF mean deviation (MD) slope (dB/year) using linear mixed-effects modeling. Eyes were categorized as slow progression (MD slope > - 0.5 dB/year) or moderate-fast progression (MD ≤ - 0.5 dB/year). Baseline RNFL thickness and VF MD, Visual acuity, intraocular pressure (IOP), glaucoma diagnosis, and number of IOP-lowering medications (NOM) were extracted from the medical record. Associations with moderate-fast progression were evaluated using logistic regression.

resultsA total of 139 eyes from 84 patients were included (mean follow-up 57.4 ± 42.6 months; mean 4.9 perimetry tests/eye). Glaucoma was diagnosed in 83/139 eyes (59.7%). Overall, 91/139 eyes (65.5%) demonstrated VF deterioration (MD slope < 0 dB/year), more frequently in glaucoma-labeled eyes than no-glaucoma eyes (64/83 [77.1%] vs. 27/56 [48.2%]; p < 0.001). Moderate-fast progression occurred in 32/139 eyes (23.0%) and did not differ significantly by glaucoma status (28.9% vs. 14.3%, p = 0.064). In multivariable modeling, higher mean NOM was associated with higher odds of moderate-fast progression (adjusted odds ratio 2.41; 95% CI 1.06-5.45; p = 0.034), whereas glaucoma diagnosis and mean IOP were not independently associated. Severity-stratified analyses showed higher moderate-fast progression with baseline VF MD ≤ -6 dB (34.9% vs. 13.2%, p = 0.004) and RNFL < 80 µm (36.4% vs. 7.0%, p < 0.001).

conclusionsIn eyes with ODD, thinner RNFL and worse VF MD at baseline are associated with a higher risk of moderate-fast VF decline, supporting risk-stratified monitoring regardless of glaucoma label or IOP.

Indexed as

GlaucomaOptic DiskOptic Disk DrusenVision DisordersVisual FieldsAdultAgedDisease ProgressionFemaleFollow-Up StudiesHumansIntraocular PressureMaleMiddle AgedRetinal Ganglion CellsRetrospective StudiesGlaucomaOptic disc drusenVisual field progression

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.