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Table S1: Comparison of clinical characteristics of normal tension glaucoma patients with baseline central and peripheral visual field defects

Central Defect (n=25)

Peripheral Defect (n=40)

P value

Age, years 69.44 ± 10.03 67.35 ± 9.77 0.409a

Race 0.922b

Malay 7 (28%) 11(27.5%)

Chinese 11(44%) 16(40%)

Indian 7(28%) 13(32.5%)

Gender 0.239b

Male 10(40%) 22(55.5%)

Female 15(60%) 18(45.5%)

Hypertension 18(72%) 25(62.5%) 0.431b

B- blockers 3(12%) 2(5%) 0.365c

Diabetes mellitus (DM) 10(40%) 16(40%) 1.000b Duration of DM, years 5.7 ± 8.2 4.3 ± 7.3 0.493a Ischemic heart disease 6(24%) 8(20%) 0.703b

Asthma 2(8%) 4(10%) 1.000c

a Independent t-test.

b χ2-test.

c Fisher exact test.

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Table S2: Comparison of systemic blood pressure measurements of normal tension glaucoma patients with baseline central and peripheral visual field defects

Central Defect (n=25)

Peripheral Defect (n=40)

P value

Mean SBP Day 134.62 ± 15.18 134.12 ± 17.07 0.904 Mean SBP Evening 138.24 ± 23.13 131.39 ± 14.93 0.151 Mean SBP Night 126.36 ± 20.77 120.93 ± 16.52 0.247 Mean DBP Day 77.47 ± 8.42 79.58 ± 10.22 0.390 Mean DBP Evening 77.63 ± 8.57 78.73 ± 8.64 0.618 Mean DBP Night 74.60 ± 8.25 73.41 ± 8.36 0.578

MAP Day 97.34 ± 8.75 98.38 ± 12.66 0.712

MAP Evening 97.84 ± 11.46 95.54 ± 10.66 0.412 MAP Night 91.46 ± 10.84 89.25 ± 9.72 0.398 Nocturnal Dip 4.85 ± 8.68 7.38 ± 8.11 0.239 Nocturnal Dip (%) 6.67 ± 12.48 9.65 ± 10.02 0.294

SBP: Systolic Blood Pressure, DBP: Diastolic Blood Pressure, MAP: Mean Arterial Pressure

Continuous variables are expressed as mean ± standard deviation.

Independent t-test or Mann-Whitney test used to detect differences between groups

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Table S3: Comparison of ocular perfusion pressure of NTG patients with baseline central and peripheral visual field defects

Central Defect (n=25)

Peripheral Defect (n=40)

P value

SOPP Day 79.75 ± 11.09 78.08 ± 11.90 0.732 SOPP Evening 81.00 ± 14.68 74.36 ± 11.79 0.337 SOPP Night 73.93 ± 16.24 69.28 ± 13.91 0.477 SOPP Fluctuation 12.55 ± 5.97 9.93 ± 5.26 0.285

DOPP Day 40.49 ± 5.34 40.70 ± 8.37 0.943

DOPP Evening 41.43 ± 3.96 38.44 ± 4.57 0.108 DOPP Night 38.91 ± 6.60 33.37 ± 6.70 0.060 DOPP Fluctuation 6.68 ± 4.02 9.15 ± 3.38 0.133

MOPP Day 53.58 ± 4.44 53.16 ± 8.05 0.873

MOPP Evening 54.61 ± 5.37 50.75 ± 5.59 0.108 MOPP Night 50.59 ± 8.72 43.99 ± 9.30 0.095 MOPP Fluctuation 7.85 ± 4.83 10.64 ± 4.92 0.187

SOPP: Systolic Ocular Perfusion Pressure, DOPP: Diastolic Ocular Perfusion Pressure, MOPP: Mean Ocular Perfusion Pressure

Continuous variables are expressed as mean ± standard deviation.

Independent t-test or Mann-Whitney test used to detect differences between groups

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Table S4: Comparison of ocular parameters and visual field indices of NTG patients with baseline central and peripheral visual field defects

Central Defect (n=25)

Peripheral Defect (n=40)

P Value

Initial BCVA 0.27 ± 0.23 0.21 ± 0.19 0.237

CCT (μm) 0.50 ± 0.04 0.51 ± 0.03 0.522 OCT RNFL

Mean 71.64 ± 10.01 74.26 ± 10.64 0.328

Superior 84.36 ± 19.22 86.54 ± 17.18 0.637

Inferior 83.08 ± 14.92 89.07 ± 20.31 0.227

Nasal 60.58 ± 6.47 60.67 ± 7.50 0.926

Temporal 61.14 ± 14.24 60.10 ± 11.62 0.749

IOP Parameters

Mean IOP Day 14.71 ± 2.12 15.05 ± 2.18 0.536

Mean IOP Evening 13.69 ± 2.45 14.64 ± 2.27 0.118 Mean IOP Night 14.82 ± 2.01 15.41 ± 1.95 0.245 IOP Fluctuation 6.88 ± 1.61 6.82 ± 1.52 0.877 Post Therapeutic Mean

IOP 13.68 ± 1.82 14.15 ± 2.00 0.347

Visual Field Indices

Baseline MD -6.03 ± 5.62 -6.12 ± 4.86 0.943

Baseline PSD 5.03 ± 3.23 4.51 ± 3.10 0.517

Follow up MD -9.97 ± 7.93 -7.31 ± 4.79 0.095

Follow up PSD 5.36 ± 3.37 5.35 ± 3.04 0.991

MD Slope -1.21 ± 1.36 -0.43 ± 0.88 0.007*

Progression 13(52%) 10(25%) 0.027*

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BCVA: Best Corrected Visual Acuity, CCT: Central corneal thickness, OCT; Optical Coherence Tomography, RNFL: Retinal Nerve Fibre Layer, IOP: Intraocular

Pressure, MD: Mean Deviation, PSD: Pattern Standard Deviation Continuous variables are expressed as mean ± standard deviation.

Independent t-test or Mann-Whitney test used to detect differences between groups

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Table S5: Univariable and Multivariable Cox Proportional Hazards Model with Backward Elimination for Prediction of Visual Field Progression in NTG Patients

Age and CCT Controlled

Univariable Regression Analysis

Multivariable Regression Analysis

HR (95% CI) p value

HR (95% CI) p value

Baseline IOP 1.13 (0.96 - 1.98) 0.114 Post therapeutic IOP 0.85 (0.76 - 1.03) 0.015 Inferior RNFL 0.96 (0.92 - 0.98) 0.060 0.86 (0.83 - 0.92) 0.013*

Mean RNFL 1.05 (0.96 - 1.14) 0.184 Baseline MD 0.95 (0.89 - 1.02) 0.153 Baseline PSD 1.10 (0.98 - 1.23) 0.120 1.14 (1.00 - 1.29) 0.050*

Central VF Defect 2.53 (1.12 - 5.80) 0.028* 3.56 (1.17-10.82) 0.025*

CCT: Central corneal thickness, IOP: Intraocular Pressure, RNFL: Retinal Nerve Fibre Layer, MD: Mean Deviation, PSD: Pattern Standard Deviation, VF: Visual Field.

Only variables with <0.20 significance shown in the table

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