Purpose: To evaluate the association between the watershed zone and glaucomatous optic nerve head (ONH) damage.
Methods: We performed indocyanine green fluorescence angiography with a scanning laser ophthalmoscope in 54 eyes of 27 patients with normal tension glaucoma (NTG).
Results: We identified 7 eyes of 8 patients (14.8%) with a watershed zone not including the ONH, 32 eyes of 20 patients (59.3%) with the watershed zone partially including the ONH, and 10 eyes of 14 NTG patients (25.9%) with the watershed zone including the ONH. Of the 27 NTG patients, 10 patients (37.0%) had different types in each eye.
Conclusions: In these patients, the mean deviation of visual field indices was greater in the eye with the watershed zone, which included a larger part of the ONH than in the contralateral eye. Conversely, the eye with the greater mean deviation had a watershed zone that included a larger part of the ONH. The location of the watershed zone appeared to influence the progression of the visual field defect.