Diagnostics of juvenile glaucoma with the use of ganglion cell complex and electrophysiological examination

Session Details

Session Title: Presented Poster Session: Glaucoma

Venue: Poster Village: Pod 2

First Author: : K.Rycman POLAND

Co Author(s): :    D. Barchanowska   E. Filipek   G. Fijalkowska   L. Nawrocka   D. Pojda- Wilczek           

Abstract Details

Purpose:

The objective of this study is to assess usefulness of the measurement of ganglion cell complex (GCC) thickness in diagnostics of suspected juvenile glaucoma and using of electrophysiological examination in preperymetric galucoma

Setting:

School Medicine in Katowice, Department of Children Ophthalmology

Methods:

A retrospective analysis covered results of minimal and average thickness of GCC in 162 children (324 eyes) that were hospitalized in the Pediatric Ophthalmology Department in Kornel Gibiński Memorial Clinical Hospital in Katowice. The control group included results of examination of 25 healthy children (50 eyes). The following were measured apart from GCC thickness: RNFL thickness, cornea thickness, intraocular pressure, disk size, and relation c/d and Pattern ERG examination. Children with vision defect bigger than -3.0 and +3.0 were excluded from the study.

Results:

Average GCC thickness in the examined group was 82,50, minimum thickness was 78.00; in the control group average thickness was 82.00 and minimum 78.00 The relation c/d in the study group was on average 0.48 ,in the control group 0.55. Pachymetry was 550 um and 540 µm respectively; the value of mean intraocular pressure was 19 mmHg for the study group and 17 mmHg for the control group.

Conclusions:

Juvenile glaucoma is difficult to diagnose; its diagnosis should not be based on a single examination but on a whole panel of examinations where assessment of GCC thickness may become one of the most important part of the examination, Pattern ERG examination detect the earliest change in glaucoma.

Financial Disclosure:

None