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Wydanie 3/2016
str. 28 - 32

Diagnostyka oraz terapia jaskry preperymetrycznej

Diagnosis and Treatment of Preperimetric Glaucoma

Przemysław A. Zabel, Jakub J. Kałużny

Katedra Zdrowia Publicznego, Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu
Kierownik: prof. dr hab. n. med. Krzysztof Leksowski

Summary: Preperimetric glaucoma belongs to primary open angle glaucoma and is characterized by the optic nerve head and retinal nerve fiber layer abnormalities. However, the defects are not detected in the standard perimetry. Preperimetric glaucoma can be recognized during the first visit, if basic ophthalmological examination for glaucoma is complemented with the objective techniques (eg. Spectral Domain Optical Coherence Tomography) and the attention is paid to the retinal nerve fiber layer thickness. Despite the lack of clear guidelines, it seems advisable to start treatment immediately after diagnosis. Available work on the subject indicates that only intraocular pressure reduction ≥20% using hypotensive drops has proven beneficial effect on the inhibition of the disease progression.

Słowa kluczowe: jaskra preperymetryczna, optyczna koherentna tomografia, warstwa włókien nerwowych siatkówki, ciśnienie wewnątrzgałkowe, perymetria.

Keywords: preperimetric glaucoma, optical coherence tomography, retinal nerve fiber layer, intraocular pressure, perimetry.

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