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Suplement do nr-u 1/2003

Wartość diagnostyczna komputerowej perymetrii statycznej, laserowej tomografii siatkówkowej (HRT) oraz skaningowej polarymetrii laserowej (GDx) w ocenie progresji jaskry pierwotnej otwartego kąta

Static perimetry, retinal tomography (HRT) and scanning laser polarimetry (GDx) diagnostic reliability in evaluation of POAG progression

Małgorzata Krajewska, Jaromir Wasyluk, Krystyna Czechowicz-Janicka, Beata Janiszewska, Małgorzata Musiorska

Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie Kierownik: prof. dr hab. med. Krystyna Czechowicz-Janicka

Summary: The aim of this study was the retrospective analysis of static visual field examination indices as well as ONH laser tomogrpfy and scanning laser polarimetry parameters as a disease progression criteria in primery open glaucoma. Material and methods: Outpatient glaucoma clinic data records of 47 subjects were evaluated (POAG, OH and glaucoma observed). All the patient have undergone at least 3 examinations in the intervals of 8-10 months: static perimetry (Octopus, G2), ONH laser tomography (Heidelberg Retina Tomograph) and scanning laser polarimetry (GDx). Results: From the evaluated groups of subjects we extracted patient in which ONH laser tomogrphy and scanning lase polarymetry results have influenced the modification of therapy decision. In these patients visual field marked no progression and IOP level was on target level. Conclusion: Subjective examinations (static perymetry) and objective diagnostic tests (RT, GDx) in composition increase the accuracy of diagnostic and therapeutic decisions.

Keywords: glaucoma, static perimetry, Heidelberg retina tomography, scanning laser polarimetry.

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