Table 4 Clinical factors associated with postoperative thinning of the average retinal nerve fibre layer thickness (µm).

From: Relationship between preoperative high intraocular pressure and retinal nerve fibre layer thinning after glaucoma surgery

 

Univariate

Multivariate

β

95% CI

p-value

β

95% CI

p-value

Age (per 1 y older)

−0.088

−0.215–0.039

0.181

   

Sex (male)

−1.156

−5.186–2.874

0.576

   

Axial length (per 1 mm longer)

0.139

−0.857–1.135

0.290

   

Central corneal thickness (per 1 µm thicker)

0.007

−0.077–0.091

0.509

   

Disc area (per 1 mm2 larger)

1.002

−2.979–4.983

0.363

   

Disc haemorrhage (presence)

0.135

−1.186–1.456

0.601

   

Preoperative severity of glaucoma

  Average RNFL thickness (per 1 µm thicker)

0.180

0.092–0.268

<0.001

0.125

0.011–0.239

0.038

  Average GCIPL thickness (per 1 µm thicker)

0.147

0.025–0.269

0.022

   

  Mean deviation (per 1 dB higher)

0.283

0.083–0.483

0.008

   

 Visual field index (per 1% higher)

0.073

0.018–0.128

0.015

   

IOP related parameters

  Preoperative peak IOP (per 1 mmHg higher)*

0.435

0.317–0.553

<0.001

0.338

0.175–0.501

<0.001

  Postoperative mean IOP (per 1 mmHg higher)

−0.192

−0.688–0.304

0.451

   

  IOP reduction (per 1 mmHg higher)

0.399

0.287–0.511

<0.001

   

  IOP fluctuation (per 1 mmHg higher)

−0.045

−0.352–0.262

0.836

   
  1. CI = confidence interval, IOP = intraocular pressure, RNFL = retinal nerve fibre layer, GCIPL = ganglion cell layer plus inner plexiform layer, IOP = intraocular pressure.
  2. Average RNFL thickness and preoperative peak intraocular pressure (IOP) remained significantly different in multivariate regression analysis (stepwise selection method). The variance inflation factor was 1.231, such that there was no collinearity between any two variables.
  3. *The highest IOP among those measured between 1 month and 1 day before surgery.
  4. The IOP calculated as the sum of all IOPs recorded during the postoperative period commencing 1 month postoperatively divided by the total number of examinations, up until the postoperative ophthalmic examination.
  5. Preoperative peak IOP–postoperative mean IOP.