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KMID : 1191420120110010042
Korean Journal of Optometry and Vision Science
2012 Volume.11 No. 1 p.42 ~ p.47
Visual Field Defect of Patients with Retinitis Pigmentosa in Koreans
Hwang Joon-Seo

Yu Hyeong-Gon
Abstract
Purpose: To evaluate visual field defect of Korean patients with retinitis pigmentosa (RP).

Methods: A total of 400 patients with RP who were diagnosed within 3 years, 231 males and 169 females were included in this study. Data were collected including age, symptomatic disease duration, family history, visual acuity (VA), Goldmann visual field (VF) at the initial visit.

Results: Determination of inheritance pattern revealed 17.0% autosomal dominant RP cases, 11.5% autosomal recessive (AR) RP, 3.5% X-linked recessive (XL) RP, and 68.0% simplex RP, indicating a relative small proportion of AR RP cases. The remaining visual filed was ¡Ã50o (radius) in 7.3%, 25¡­50o in 10.8%, 10¡­25o in 29.3% and ¡Â10o in 52.8%. Visual acuity was ¡Ã20/30 in 43.8%, 20/100¡­20/30 in 44.5%, 20/200¡­20/100 in 5.5% and ¡Â20/200 in 6.3%. The functional acuity score of 83.3¡¾17.2 was higher than the functional field score of 49.9¡¾20.5. VA and VF defects were greater in AR RP and XL RP than in other types, the proportion of ¡Ã20/30 VA was smaller and there was no patient who had VF greater than 25o.

Conclusions: Korean RP patients had advanced visual field defect at the initial visit. VF defect was greater than VA loss and more severe in the patient with AR RP and XL RP.
KEYWORD
Retinal degeneration, Retinitis pigmentosa, Visual field, Koreans
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