Effects of moderate smoking on the central visual field

Abstract

ABSTRACT.Purpose: To investigate whether moderate cigarette smoking has any effects on the central visual field. Methods: This study included 30 healthy, moderate cigarette smokers (10-20 cigarettes per day for at least the past 5 years) and 22 healthy non-smokers. After two training test sessions, all individuals underwent computerized visual field examinations (Humphrey 30-2 Full Threshold Test) with both white-on-white (W-W) perimetry and blue-on-yellow (B-Y) perimetry. One eye of each subject with reliable visual field test results was evaluated. The foveal threshold, mean deviation (MD), pattern standard deviation (PSD), short-term fluctuation (SF), corrected pattern standard deviation (CPSD), glaucoma hemifield test (GHT) and number of significantly depressed points deviating at p < 5%, p < 2%, p < 1% and p < 0.5% on the pattern deviation probability map of the smokers were compared with those of the non-smokers. Results: When the results of W-W perimetry were analysed, the smokers were found to have significantly lower foveal thresholds (p ¼ 0.001) and mean retinal sensitivity (p ¼ 0.02), and higher PSD (p ¼ 0.002) and CPSD (p ¼ 0.01) than the non-smokers. Short-term fluctuation was similar in both groups (p ¼ 0.55). The number of significantly depressed points deviating at p < 5%, p < 2% and p < 1% on the pattern deviation probability map was similar for both groups (p > 0.05). The number of depressed points deviating at p < 0.5% on the pattern deviation probability map was higher for the smokers than for the non-smokers (p ¼ 0.03). The results of B-Y perimetry showed the smokers to have a significantly lower foveal threshold than the non-smokers (p ¼ 0.03). However, there were no significant differences in the global indices of the two groups (p > 0.05). The number of significantly depressed points deviating at p < 5%, p < 2%, p < 1% and p < 0.5% on the pattern deviation probability map was similar in both groups (p > 0.05). No significant difference in GHT was determined with either perimetry for the smokers compared with the non-smokers (p > 0.05). Conclusion: This study suggests that moderate cigarette smoking is associated with both diffuse and localized reductions in retinal sensitivity with W-W perimetry. Only reduction in the foveal threshold was observed with B-Y perimetry, with no hints of diffuse and localized reductions.

Evaluation of visual field parameters in patients with chronic obstructive pulmonary disease

“…Visual field has been studied in smokers. (Hepsen & Evereklioglu 2001;Akarsu et al 2004). Retinal sensitivity was found to be decreased, and the presence of localized field defects was shown in smokers.…”

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Acute effects of cigarette smoking on pattern electroretinogram

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