Wydanie 3/2007

Jaskra młodzieńcza - trudności diagnostyczne, analiza retrospektywna

Primary Juvenile Glaucoma - Diagnostic Difficulties, a Retrospective Analysis

Beata Kocyła-Karczmarewicz, Mirosława Grałek, Dorota Klimczak-Ślączka

Klinika Okulistyki Instytut "Pomnik - Centrum Zdrowia Dziecka" w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek

Summary: Purpose: The aim of the study is to sum up a few-year diagnostic treatment of glaucoma and it is results in a group of children
with suspected glaucoma.
Material and methods: The analysis embraced the medical records of 25 patients (50 eyes) aged 3 to 16 years old, who had been diagnosed II cup/ disc ratio. The children were hospitalized at Klinika Okulistyki IP CZD for being affected by or suspected of glaucoma. The observation period lasted from 2 to 4 years.
Results: Over the whole period of observation all the patients demonstrated the normal level of intra-ocular pressure. No progression in changes in the optic nerve head was identified. No noticeable changes were identified within the evaluated parameters such as optic disc size, cup/ disc ratio, retinal nerve fiber layer height. The changes in the visual field that had been identified at the beginning of the observation period were not observed in the final examination. No visual field progression was detected. In growing patients axial length changes were identified. In a few children migraine or emotional headache were diagnosed. In none of the analyzed patients glaucoma was diagnosed. Some of them are still under observation.
Conclusions: In diagnosis of primary juvenile glaucoma many factors should be considered as important and valuable for obtaining correct results of examination.

Keywords: primary juvenile glaucoma, diagnostics, abnormalities of the cup/ disc ratio.