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Abstract #3631 Published in IGR 4-2
Funduscopic findings as related to visual field in glaucoma
Ichioka IJapanese Journal of Clinical Ophthalmology 2002; 56: 737-742
A total of 421 eyes in 252 patients were examined regarding early glaucomatous changes. The series included normal-tension glaucoma (192 eyes), capsular or primary open-angle glaucoma (88 eyes), closed-angle glaucoma (25 eyes), ocular hypertension (25 eyes), and others. Fundus findings were evaluated using a slit-lamp microscope with a fundus contact lens. There were 12 eyes that showed normal findings on the glaucoma hemifield test using Humphrey perimetry. All these eyes had a nerve fiber layer defect. Eyes with notching of disc cupping showed significantly lower mean deviation and higher corrected pattern standard deviation by static perimetry using the Humphrey 30-2 program. Eyes with a zone β or tessellated fundus showed decreased sensitivity related to their severity. Eyes with closed-angle glaucoma showed significantly smaller disc cupping and less frequent nerve fiber layer defects. As an overall finding, disc cupping and nerve fiber layer defects were important changes in early glaucoma. Fundus findings were of lesser importance in grading the severity of glaucoma in eyes with closed-angle glaucoma, zone β or tesselated fundus. LA: Japanese
Dr. I. Ichioka, Ichioka Eye Clinic, 568 Otesenba-cho, Matsue-shi 690-0007, Japan
Classification:
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)
6.6.2 Automated (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)
