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NR. 1/2009
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Monitorowanie
progresji neuropatii jaskrowej – podejście praktyczne
Measuring the Rate of Glaucoma Progression – Practical Approach
Magdalena Pilas-Pomykalska1,
Janusz Czajkowski2, Anna Wyrwicka1, Dorota
Tomaszkiewicz-Mondry1
1 Klinika Okulistyki Instytutu „Centrum Zdrowia Matki
Polki” w Łodzi
P.o. kierownika: dr n. med. Dorota Tomaszkiewicz-Mondry
2 II Katedra i Klinika Położnictwa Uniwersytetu
Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Grzegorz Krasomski |
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| Summary: |
Glaucoma is a chronic,
progressive disease leading to severe, irreversible
visual impairment. All patients with glaucoma progress,
but not at the same rate. According to new Guidelines of
European Glaucoma Society rate of progression is
invaluable for making clinical management decisions.
Progression rate is also essential in projecting the
risk for future functional impairment. Measurement of
progression rate therefore needs to be determined in
each individual patient to allow for the most
appropriate treatment decision. Currently, progression
rate can be best determined by detecting visual field
changes, using standard automated perimetry (SAP). VF
defects reflect functional damage, which has an impact
on patient’s QoL and is most important from the patient
point of view. Besides, VF is measured with stable
technology and SAP is widely available in clinical
practice. To evaluate progression rate, it is essential
to establish good set of reliable baseline data (at
least two reliable VF measurements with threshold SAP).
Estimating the rate usually requires several years of
frequent exams. As progression in most patients is
linear, the likely treatment outcome can be projected if
enough VFs are obtained. The authors present practical
recommendations for measuring clinically relevant rates
of glaucomatous visual field progression. |
| Key words: |
glaucoma, progression,
standard automated perimetry (SAP). |
| Słowa kluczowe: |
jaskra, progresja,
automatyczna perymetria statyczna. |
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