Nerve fiber analysis and optic disc parameters with the glaucoma-scope.

Abstract:

PURPOSE:We evaluated the ability of optic disc parameters and nerve fiber analysis with the Glaucoma-scope to distinguish glaucoma from normal or hypertensive eyes. METHODS:Glaucoma-scope examination was performed on 68 eyes of 44 patients split into following groups based on Humphrey 24-2 visual field and clinical criteria of glaucoma: normal eyes (n = 17), ocular hypertension (n = 19), early glaucoma (n = 17), moderately advanced glaucoma (n = 15). The contour of the juxta papillary nerve fiber layers was measured in the four groups. We also evaluated a global index as the mean disc depth corrected for the disc size by dividing by the disc area (MP/D). RESULTS:We found a statistical difference (p < 0.001) between the four groups with the global index MP/D: normal eyes MP/D = -17.42, hypertensive eyes MP/D = -26.34, early glaucoma MP/D = -82.33, moderately advanced glaucoma MP/D = -99.69. We also found a statistical difference between the first two groups (normal visual field) compared to the two glaucoma groups for the mean fiber layer height in the superior and the inferior quadrant. CONCLUSION:Nerve fiber analysis and optic nerve head index calculated with the Glaucoma-scope could prove to be an interesting tool for glaucoma diagnosis and follow-up.

journal_name

Int Ophthalmol

authors

Lachkar Y,Cohn H

doi

10.1007/BF00212942

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

33-8

issue

1-3

eissn

0165-5701

issn

1573-2630

journal_volume

20

pub_type

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