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NR. 1/2005
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Rola aktywnej
profilaktyki we wczesnym rozpoznawaniu neuropatii jaskrowej
Active Prophylaxis Role in Early Diagnosis of the Glaucomatous
Neuropathy
Wojciech Gosławski, Katarzyna
Mozolewska-Piotrowska, Danuta Karczewicz
Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w
Szczecinie
Kierownik: prof. dr hab. med. Danuta Karczewicz |
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| Summary: |
Aim of this paper was to
evaluate how individuals with suspected, but not
confirmed glaucoma during the first observation, perform
indicated follow-up visits and how often glaucoma is
diagnosed in this group later on.
Material and methods: Examined group consisted of
50 individuals with suspected glaucoma (42 F and 8 M)
with no evidence of glaucomatous damage confirming
glaucoma diagnosis at the time of the first observation.
Mean follow-up time was 4 years. Compliance with the
recommended follow-up regimen was evaluated and complete
ophthalmologic examination including intraocular
pressure and static perimetry was performed. Results
were compared in 3 groups: I – eyes without glaucoma, II
– eyes with glaucoma confirmed during earlier follow–up
visits and III – eyes with glaucoma diagnosed on present
examination. Diagnosis was made according to the
European Glaucoma Society criteria.
Results: Only 18% of patients followed the
control examinations schedule, 32% visited
ophthalmologist due to different eye problems and 50%
remained uncontrolled. Glaucoma was confirmed in 38% of
patients. IOP was significantly higher in the III group
(24.2 mmHg) comparing to the groups I (16.2 mmHg) and II
(13.7 mmHg). The most severe visual field defects were
observed in group III.
Conclusions: 1. Most of the individuals with
suspected glaucoma remained uncontrolled after the first
observation. 2. A special attention should be paid to
inform patients properly about the disease and active
prophylaxis should be considered in this group. |
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| Key words: |
glaucoma, prophylaxis,
diagnosis. |
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