Challenges in early glaucoma detection

Session Details

Session Title: Glaucoma II

Session Date/Time: Monday 12/09/2016 | 08:00-10:30

Paper Time: 08:06

Venue: Hall C4

First Author: : E.Dervisevic BOSNIA AND HERZEGOVINA

Co Author(s): :    S. Pavljasevic   S. Sefic Kasumovic   A. Dervisevic              

Abstract Details

Purpose:

According to recent research, the link between myopia and glaucoma remains unexplained in most cases, mainly due to the fact that it is difficult to sort out the structural and functional abnormalities we meet in myopia from the 'real' glaucoma changes There is strong epidemiological evidence linking myopia and glaucoma. Miopic optic disc can be a major challenge in terms of correct diagnosis of glaucoma.

Setting:

This is a prospective-retrospective, comparative, randomized clinical trial that included 150 patients, 97 were female and 53 male.

Methods:

In order to make scientifically valuable statistical comparison, a total of 300 eyes was examined, ie. 100 eyes in 3 groups of patients of both sexes: Group I - patients with glaucoma, Group II - patients with myopia and glaucoma, Group III - patients only with myopia All patients after anamnesis underwent following ophthalmological examination: natural visual acuity and best corrected visual acuity, applanation tonometry Goldman, biomicroscope examination autorefractometry, gonioscopy, fundus examination - direct ophthalmoscopy (stereobiomicroscopy Volk lens + 90D), three-dimensional spectral optical coherence tomography (SOCT 3D), static computerized perimetry (KOWA).

Results:

It was found that respondents with a higher degree of visual field changes have greater DDLS values. It is important to note that the subjects with terminal stage in visual field loss in the group with diagnosed glaucoma had average DDLS value 7.11, and those with a joint diagnosis of glaucoma and myopia 8.75 of the DDLS.

Conclusions:

The evaluation of morphological parameters of the optic nerve head and peripapillary areas of testing in patients with different degree of myopia we are one step closer to identifying changes in the optic disc as the earliest signs related to glaucoma. Via analysis of comorbidity of glaucoma and myopia, it is possible to make the algorithm of diagnostic techniques and procedures for early detection of glaucoma. Disc Damage Likelihood Scale (DDLS) is a new system for assessing glaucomatous damage of the optic disc which strongly correlates with the degree of visual field loss.

Financial Disclosure:

NONE