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Purpose: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.Retrospective case series.We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < ˗ 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ – 6 diopters) eyes. The rate of VF deterioration (dB/year) was determined using linear regression analysis of 30 -2 and 10 -2 VF tests. The Wilcoxon signed-rank test was used to compare deterioration rates between groups. To assess the influence of initial post-surgery effects, statistical analyses were conducted with and without data from the initial postoperative VF exam.Trabeculectomy significantly reduced intraocular pressure (IOP) in myopic (14.1 to 9.0 mmHg, P ≤ 0.01) and non-myopic (13.4 to 9.5 mmHg, P ≤ 0.01) eyes. Postoperatively, the 10-2 VF deterioration rate significantly decreased in myopic (˗ 1.31 to ˗ 0.55 dB/year, P = 0.01) and non-myopic (– 0.80 to – 0.30 dB/year, P = 0.03) eyes. Excluding the first postoperative VF exam, the deterioration rates were – 0.51 ± 0.24 dB/year and – 0.54 ± 0.89 dB/year, respectively, indicating a minor impact on progression assessment.Trabeculectomy may mitigate central VF deterioration in myopic NTG patients, emphasizing the potential benefits of timely surgical intervention. Further studies are needed to determine the optimal timing for surgery.Study design: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.Retrospective case series.We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < ˗ 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ – 6 diopters) eyes. The rate of VF deterioration (dB/year) was determined using linear regression analysis of 30 -2 and 10 -2 VF tests. The Wilcoxon signed-rank test was used to compare deterioration rates between groups. To assess the influence of initial post-surgery effects, statistical analyses were conducted with and without data from the initial postoperative VF exam.Trabeculectomy significantly reduced intraocular pressure (IOP) in myopic (14.1 to 9.0 mmHg, P ≤ 0.01) and non-myopic (13.4 to 9.5 mmHg, P ≤ 0.01) eyes. Postoperatively, the 10-2 VF deterioration rate significantly decreased in myopic (˗ 1.31 to ˗ 0.55 dB/year, P = 0.01) and non-myopic (– 0.80 to – 0.30 dB/year, P = 0.03) eyes. Excluding the first postoperative VF exam, the deterioration rates were – 0.51 ± 0.24 dB/year and – 0.54 ± 0.89 dB/year, respectively, indicating a minor impact on progression assessment.Trabeculectomy may mitigate central VF deterioration in myopic NTG patients, emphasizing the potential benefits of timely surgical intervention. Further studies are needed to determine the optimal timing for surgery.Methods: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.Retrospective case series.We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < ˗ 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ – 6 diopters) eyes. The rate of VF deterioration (dB/year) was determined using linear regression analysis of 30 -2 and 10 -2 VF tests. The Wilcoxon signed-rank test was used to compare deterioration rates between groups. To assess the influence of initial post-surgery effects, statistical analyses were conducted with and without data from the initial postoperative VF exam.Trabeculectomy significantly reduced intraocular pressure (IOP) in myopic (14.1 to 9.0 mmHg, P ≤ 0.01) and non-myopic (13.4 to 9.5 mmHg, P ≤ 0.01) eyes. Postoperatively, the 10-2 VF deterioration rate significantly decreased in myopic (˗ 1.31 to ˗ 0.55 dB/year, P = 0.01) and non-myopic (– 0.80 to – 0.30 dB/year, P = 0.03) eyes. Excluding the first postoperative VF exam, the deterioration rates were – 0.51 ± 0.24 dB/year and – 0.54 ± 0.89 dB/year, respectively, indicating a minor impact on progression assessment.Trabeculectomy may mitigate central VF deterioration in myopic NTG patients, emphasizing the potential benefits of timely surgical intervention. Further studies are needed to determine the optimal timing for surgery.Results: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.Retrospective case series.We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < ˗ 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ – 6 diopters) eyes. The rate of VF deterioration (dB/year) was determined using linear regression analysis of 30 -2 and 10 -2 VF tests. The Wilcoxon signed-rank test was used to compare deterioration rates between groups. To assess the influence of initial post-surgery effects, statistical analyses were conducted with and without data from the initial postoperative VF exam.Trabeculectomy significantly reduced intraocular pressure (IOP) in myopic (14.1 to 9.0 mmHg, P ≤ 0.01) and non-myopic (13.4 to 9.5 mmHg, P ≤ 0.01) eyes. Postoperatively, the 10-2 VF deterioration rate significantly decreased in myopic (˗ 1.31 to ˗ 0.55 dB/year, P = 0.01) and non-myopic (– 0.80 to – 0.30 dB/year, P = 0.03) eyes. Excluding the first postoperative VF exam, the deterioration rates were – 0.51 ± 0.24 dB/year and – 0.54 ± 0.89 dB/year, respectively, indicating a minor impact on progression assessment.Trabeculectomy may mitigate central VF deterioration in myopic NTG patients, emphasizing the potential benefits of timely surgical intervention. Further studies are needed to determine the optimal timing for surgery.Conclusions: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.Retrospective case series.We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < ˗ 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ – 6 diopters) eyes. The rate of VF deterioration (dB/year) was determined using linear regression analysis of 30 -2 and 10 -2 VF tests. The Wilcoxon signed-rank test was used to compare deterioration rates between groups. To assess the influence of initial post-surgery effects, statistical analyses were conducted with and without data from the initial postoperative VF exam.Trabeculectomy significantly reduced intraocular pressure (IOP) in myopic (14.1 to 9.0 mmHg, P ≤ 0.01) and non-myopic (13.4 to 9.5 mmHg, P ≤ 0.01) eyes. Postoperatively, the 10-2 VF deterioration rate significantly decreased in myopic (˗ 1.31 to ˗ 0.55 dB/year, P = 0.01) and non-myopic (– 0.80 to – 0.30 dB/year, P = 0.03) eyes. Excluding the first postoperative VF exam, the deterioration rates were – 0.51 ± 0.24 dB/year and – 0.54 ± 0.89 dB/year, respectively, indicating a minor impact on progression assessment.Trabeculectomy may mitigate central VF deterioration in myopic NTG patients, emphasizing the potential benefits of timely surgical intervention. Further studies are needed to determine the optimal timing for surgery. [ABSTRACT FROM AUTHOR]

The recovery of the visual field in eyes with central retinal artery occlusion (CRAO) has rarely been reported, because the patient has difficulty in central fixation during perimetry testing due to poor visual acuity. We describe the recovery of the central visual field in eyes with atypical CRAO. Cases: Two patients who showed sudden visual loss underwent ophthalmic examinations, including fluorescein fundus angiography and Humphrey central 30-2 perimetry. Observations: Both patients had good visual acuity at presentation, with normal retinal color in the area of the papillomacular bundle surrounded by a mild retinal whitening in one case and by scattered cotton-wool patches in the other. They were considered on the basis of angiographic findings to have central retinal artery occlusion. The mean deviation of the Humphrey central 30-2 perimetry gradually improved during the initial 70 days after the onset of symptoms in both patients. Conclusions: Although the mechanism remains to be clarified, a certain degree of visual field recovery may be seen in some cases of retinal artery occlusion. More patients with CRAO should be studied with follow-up perimetry. [ABSTRACT FROM AUTHOR]