Normal tansiyonlu glokom şüphesi olan olgularda standart 30.2 perimetrinin heidelberg retina tomografisi ile ilişkisi
Küçük Resim Yok
Tarih
2011
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Normal tansiyonlu glokom şüphesi olan olgularda standart 30.2 beyaz ışık perimetrinin Heidelberg Retina Tomografisi (HRT) ile ilişkisini araştırmak. Gereç ve Yöntem: Kliniğimiz Glokom biriminde göz içi basınçları (GİB) 21 mmHg’den düşük, gonyoskopik ölçümlerde açık açılı, glokomatöz optik disk bulgusu nedeniyle glokom şüphesi olan 15 hastanın 29 gözü retrospektif olarak incelendi. Goldmann aplanasyon tonometresi ile GİB, Humphrey perimetri ile 30.2 beyaz ışık perimetri ve HRT ölçümleri kaydedildi. İstatistiksel analizlerde Pearson korelasyon testi kullanıldı. Bulgular: Yaş ortalaması 46.1±14.8 (35-66) olan olguların 4’ü erkek 11’i kadındı. Yapılan korelasyon analizinde patern standart deviasyon (PSD) ile HRT’de retina sinir lifi tabakası (RNFL), retina sinir lifi tabakasının kesit alanı (RNFLCSA) ve glokom yarıalan testi (GHT) ölçümleri arasında korelasyon saptandı (Sırasıyla p=0.006, p=0.02, p=0.001). GHT ile HRT’de RNFL ve Moorfields regresyon analizi arasında korelasyon saptandı (p=0.012 ve p=0.045). Sonuç: Normal tansiyonlu glokom şüphesi olan olgularda görme alanındaki PSD ve GHT değerleri ile HRT’deki bazı parametreler arasında korelasyon bulunmaktadır. Erken defektlerin saptanabilmesi ve görme alanı çekilmesinde zorluklar yaşanabilecek olgularda HRT bilgileri faydalı olabilir.
Purpose: To evaluate the correlation between 30.2 standart perimetry and Heidelberg Retinal Tomograph (HRT) in eyes with normal tension glaucoma suspect. Materials and Methods: Twenty-nine eyes of 15 patients with intraocular pressure of less than 21 mmHg, with gonioscopically open anterior chamber angle, and signs of a glaucomatous optic disc were retrospectively evaulated in our institution glaucoma department. Intraocular pressure measurements with Goldmann applanation tonometry, standart 30.2 perimetry measurements with Humphrey and HRT measurements were recorded. Pearson correlation test was used in statistical analysis. Results: Mean age was 46.1±14.8 years (range, 35 to 66 years). Eleven patients were women and 4 were men. There was a significant correlation between pattern standard deviation (PSD) and retinal nerve fiber layer (RNFL), retinal nerve fiber layer cross sectional area (RNFLCSA) and glaucoma hemifield tests (GHT) (p=0.006, p=0.02, p=0.001, respectively). There was a significant correlation between GHT and RNFL and Moorfields regression analysis (p=0.012 and p=0.045). Conclusion: There was a significant correlation between PSD and GHT parameters in visual field and some parameters in HRT. HRT measurements might be useful in determining the early defects and in eyes with cooperation problems in performing visual field.
Purpose: To evaluate the correlation between 30.2 standart perimetry and Heidelberg Retinal Tomograph (HRT) in eyes with normal tension glaucoma suspect. Materials and Methods: Twenty-nine eyes of 15 patients with intraocular pressure of less than 21 mmHg, with gonioscopically open anterior chamber angle, and signs of a glaucomatous optic disc were retrospectively evaulated in our institution glaucoma department. Intraocular pressure measurements with Goldmann applanation tonometry, standart 30.2 perimetry measurements with Humphrey and HRT measurements were recorded. Pearson correlation test was used in statistical analysis. Results: Mean age was 46.1±14.8 years (range, 35 to 66 years). Eleven patients were women and 4 were men. There was a significant correlation between pattern standard deviation (PSD) and retinal nerve fiber layer (RNFL), retinal nerve fiber layer cross sectional area (RNFLCSA) and glaucoma hemifield tests (GHT) (p=0.006, p=0.02, p=0.001, respectively). There was a significant correlation between GHT and RNFL and Moorfields regression analysis (p=0.012 and p=0.045). Conclusion: There was a significant correlation between PSD and GHT parameters in visual field and some parameters in HRT. HRT measurements might be useful in determining the early defects and in eyes with cooperation problems in performing visual field.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Glokom Katarakt
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
