NR 1-2/2004
SUPLEMENT


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Zastosowanie skaningowego oftalmoskopu laserowego oraz skaningowego polarymetru laserowego we wczesnej diagnostyce i monitorowaniu jaskry pierwotnej otwartego kąta

The use of scanning laser ophthalmoscop and scanning laser polarimetr in diagnosis and monitoring of early stages of primary open-angle glaucoma

Andrzej Wróbel, Renata Szostek-Helbig, Katarzyna Przybylska, Łukasz Bednarski, Rafał Leszczyński

Z Katedry i Kliniki Okulistyki Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska

Summary: Purpose: To evaluate the usefulness of scanning laser ophthalmoscope (TopSS) and scanning laser polarimeter (GDx) in diagnosis and monitoring patients suspected of primary open angle glaucoma (POAG).
Material and methods: In eighty eyes of 40 patients, we performed TopSS, GDx and static perimetry (Octopus 123) in the time period of three years.
Results: The GDx analysis showed progression of changes in the retinal fiber thickness in 28 (35%) eyes (p<0,05). In 18 eyes we found non-specific changes in GDx examinations, which were related to no glaucomatous reason. TopSS analysis of the optic nerve head revealed progression in c/d in 16 (20%) eyes (p<0,05). In seven eyes we detected changes in the visual field, which were more strongly connected with changes in TopSS than GDx.
Conclusions: 1. The TopSS and GDx examinations enabled diagnosis and monitoring of early glaucomatous changes in the period of observation. 2. The GDx examination seems to be more sensitive, and TopSS more specific to glaucoma.
Słowa kluczowe:  jaskra, skaningowy oftalmoskop laserowy, skaningowy laserowy polarymetr.
Key words: glaucoma, scanning laser ophthalmoscop, scanning laser polarimeter.



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