Top-Four of the Symposium of the Bulgarian National Academy Glaucoma Foundation
January 6, 2013, Sofia, Bulgaria
Botio Anguelov
Glaucoma staging is a precise estimate of patient condition as a
prerequisite for better treatment and prognosis. The level of glaucomatous
optic neuropathy is comprehensively described by the Disk Damage Likelihood
Scale. HRT II allows fast and detailed assessment of structural glaucoma
damage, which can be applied to develop a more accurate structure: the
based glaucoma staging system. (Anani Toshev, Bulgaria)
Epidemiological studies, animal models and studies of human tissues
suggest a direct link between Alzheimer's disease and glaucoma, but
the evidence is still insufficient. Common clinical findings include
thinning of RNFL and visual field defects. An overview of the clinical
manifestations and visual function changes in both conditions, as well
as some common pathological pathways is provided. (Radouil Tzekov, USA)
There is a statistically significant high correlation between the
thickness of GCC and RNFL obtained with optical coherence tomography
in glaucoma patients. In all patients there was good correspondence
between localized GCC defects and affected sectors of RNFL and also
between anatomically connected hemispheres of GCC and visual field.
Evaluation of GCC seems to be a valuable addition to RNFL thickness
measurements for the improvement of diagnostic accuracy and precise
determination of glaucoma changes. (Kremena Petrova, Bulgaria)
Two types of surgical procedures were performed in patients with
advanced open-angle glaucoma: First group - single-step placement of
two different implants - Ex-PRESS® and Ologen™; and second group - revision
with Ologen™ in eyes previously operated with Ex-PRESS®. Postoperative
results indicate that our new surgical approach with using these two
different implants which have different mechanisms of action can be
an alternative to the trabeculectomy and the single placement of each
of them. (Botio Anguelov, Bulgaria)