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NR 3/2004
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Konfokalna
skaningowa tomografia laserowa (HRT) w diagnostyce i
monitorowaniu uszkodzenia jaskrowego nerwu wzrokowego w jaskrze
pierwotnej otwartego kąta
Confocal laser scanning
tomography (HRT) in diagnosis and monitoring glaucomatous optic
nerve damage in primary open angle glaucoma
Joanna Markowska, Wanda Romaniuk, Henryk
Kozioł
Z Katedry i Oddziału Klinicznego Chorób Oczu Śląskiej Akademii
Medycznej w Katowicach
Wojewódzki Szpital Specjalistyczny nr 5 im. Świętej Barbary w
Sosnowcu
Kierownik: prof. dr hab. n. med. Wanda Romaniuk |
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| Summary: |
Purpose: The aim of
this study was to estimate HRT usefulness in
quantitative evaluation of structural glaucomatous optic
nerve head damage and in monitoring this atrophy in POAG
patients and normal subjects, during 18-monthly follow
up.
Material and methods: 130 eyes of 84 patients
with primary open angle glaucoma, 52 women (79 eyes) and
32 men (51 eyes) in age 45-70 (mean = 54,69 yrs) and 96
eyes of 48 normal subjects , 33 women (66 eyes) and 15
men (30 eyes) in age 40-70 (mean=51,90 yrs). The ONH-
stereometric parameters were examined using confocal
laser scanning tomography – HRT (version 2.01).
Results: All of ONH stereometric parameters (except:
HVC) statistically significant distinguish glaucoma and
normal eyes. The most marked of ONH-parameters are: C/D
area ratio, CA, CSM, RA, RV, Mean cup depth, CV, Max cup
depth, Mean RNFL thickness, RNFL-csa and DA.
Statistically significant changes of all ONH
stereometric parameters in primary open angle glaucoma
were found during follow up (except: HVC, CV and CSM).
Conclusions: HRT is precise method for
ONH-parameters evaluation. All of ONH-stereometric
parameters (except HVC) are good markers of quantitative
ONH-glaucomatous damage. HRT is valuable and precise
method of quantitative monitoring progression of
glaucomatous neuropathy. |
| Słowa kluczowe: |
jaskra pierwotna otwartego
kąta, konfokalna skaningowa tomografia laserowa. |
| Key words: |
primary open angle
glaucoma, confocal skanning laser tomography. |
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