The Relationship between Type D Personality and Primary Narrow Angle & Primary Angle Closure Glaucoma

Purpose: To investigate the relationship of type D personality and primary narrow angle and primary angle closure glaucoma. Methods: : A cross-sectional study was performed in 110 patients with primary narrow angle admitted to the Department of Ophthalmology, the First Affiliated Hospital of China Medical University from June to October 2021. Among them, 49 patients had a history of glaucoma attack or visual field changes, and 61 patients had no history of glaucoma attack and visual field changes. Forty-nine age-related cataract patients with normal anterior chamber depth were included as control group. The demographic characteristics and ophthalmic examination results were collected, and all subjects were evaluated by type D scale-14, self-rating anxiety scale and self-rating depression scale. Results: : There were 60 subjects (54.5%) had type D personality in primary narrow angle patients, and 5 subjects (10.2%) in control group; in primary narrow angle group, 37 patients (75.5%) had type D personality among primary angle closure glaucoma patients, and 23 patients (37.7%) in patients without history of glaucoma attack or visual field changes. The results of ordered logistic regression analysis showed that type D personality increased the risk of angle-closure glaucoma and primary narrow angle (OR=5.730，95%CI 2.596-12.648， p <0.001). Conclusions: : TDP and anxiety are significantly associated with PACG, TDP has a certain correlation with PNA.