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Section I · Basic Aspects

Chapter 6: Glaucomatous Influence on Visual Function

Shields' Textbook of Glaucoma, 6th edition

Showing 1–20 of 2,351 articles

3.
Observational Study

Revised Swedish visual field standards for a driver's licence: Threshold perimetry as a predictor of eligibility according to the current Swedish and current Norwegian suprathreshold standards.

Saadi Wid, Bro Tomas, Sagerfors Susanna

Acta OphthalmolMar 2026

This study found threshold perimetry (≥10dB within 20°) can predict driver's license visual field eligibility (Swedish/Norwegian standards) with good sensitivity. More people meet the current Swedish standard than the former.

14.
Review

Ophthalmic complications of radiotherapy.

Beecher Mark, Rana Khizar, Gowda Raghu et al.

Graefes Arch Clin Exp OphthalmolDec 2025

Radiotherapy for eye/orbital conditions, despite advances, causes various vision-threatening complications like neovascular glaucoma, radiation retinopathy, and optic neuropathy, varying by treatment type and patient factors.

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The overall 2-year failure rate for trabeculectomy was 50.6%, for tube shunt surgery was 52.1%, for goniotomy was 53.3%, and for canaloplasty was 49.0% among 2483 eyes with secondary glaucoma aged 18 to 40 years.

TreatmentCohortRetrospective clinical cohort studyn=2483 eyes

Glaucoma due to 'other eye disorders', mostly following prior ocular procedures, had the highest 2-year failure rates following trabeculectomy (58.5%) and tube shunt surgery (62.2%) among 2483 eyes with secondary glaucoma aged 18 to 40 years.

PrognosisCohortRetrospective clinical cohort studyn=2483 eyes

Minimally invasive glaucoma surgery (MIGS) accounted for nearly one in five of the glaucoma surgeries recorded in young patients with secondary glaucoma, with approximately half of cases remaining failure-free at 2 years.

EpidemiologyCohortRetrospective clinical cohort studyn=454 MIGS, 337 trabeculectomies, and 1692 tube shunt surgeries

The study is a retrospective clinical cohort study evaluating outcomes of MIGS, trabeculectomy, and tube shunt surgery in 2483 eyes with secondary glaucoma aged 18 to 40 years from the IRIS® Registry (2013-2024).

MethodologyCohortRetrospective clinical cohort studyn=2483 eyes

The presence of glaucoma significantly influenced the incidence of immunologic graft rejection following endothelial keratoplasty, with an odds ratio (OR) of 2.28 (95% CI, 1.50-3.46, P < 0.001) in a single-center retrospective case review study of 3546 eyes.

PrognosisCase seriesretrospective case reviewn=3546 eyes

In a retrospective case series of 49 patients with ACO2-related dominant optic atrophy, clinical data disclosed a high variability of severity, from pauci-symptomatic up to legal blindness, with a median best-corrected visual acuity (BCVA) of 0.46 logMAR (Snellen equivalent, 20/63; IQR 0.00-0.89; n = 45).

PrognosisCase seriesRetrospective case seriesn=49 patients

In a retrospective case series of 49 patients with ACO2-related dominant optic atrophy, no correlation between best-corrected visual acuity (BCVA) and sex, age at diagnosis (Spearman ρ = -0.19; 95% CI, -0.45 to 0.07), or variant type (Kruskal-Wallis test P =.33) was found.

PrognosisCase seriesRetrospective case seriesn=49 patients

In a retrospective case series of 49 patients with ACO2-related dominant optic atrophy, there was a correlation between best-corrected visual acuity (BCVA) and retinal nerve fiber layer (RNFL) (Spearman ρ = -0.74; 95% CI, -0.85 to -0.54), ganglion cell layer (GCL) (Spearman ρ = -0.60; 95% CI, -0.79 to -0.30), and visual field mean deviation (MD) (Spearman ρ = -0.65; 95% CI, -0.89 to -0.31).

PrognosisCase seriesRetrospective case seriesn=49 patients

In the light perception (LP) cohort of patients with advanced non-syndromic retinitis pigmentosa treated with UGX-201, mean best-corrected visual acuity in the treated eyes showed a clinically meaningful improvement of 0.30 logMAR at Week 52, as assessed by Freiburg Visual Acuity and Contrast Test.

TreatmentCase seriesOpen-label, non-randomized, single-center trialn=6 patients in LP cohort

In the no light perception (NLP) cohort of patients with advanced non-syndromic retinitis pigmentosa treated with UGX-201, all three participants restored light perception in the treated eyes at Week 2, Week 4, and Week 24 respectively, and two of them maintained light perception at Week 52.

TreatmentCase seriesOpen-label, non-randomized, single-center trialn=3 patients in NLP cohort

The total composite score of the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) in the light perception (LP) cohort of patients with advanced non-syndromic retinitis pigmentosa treated with UGX-201 increased by 3.72 points at Week 52 from baseline.

TreatmentCase seriesOpen-label, non-randomized, single-center trialn=6 patients in LP cohort

No significant differences were observed in final best-corrected visual acuity (BCVA) between 360-degree laser and focal laser during pars plana vitrectomy for rhegmatogenous retinal detachment (MD = 0.06; 95% CI, -0.01 to 0.13; I^2 = 75.5%).

Comparative EffectivenessMeta-AnalysisSystematic Review and Meta-Analysisn=13 studies, 3639 eyes