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Correlation of the Heidelberg Retinal Tomograph, Evaluation of the Retinal Nerve Fiber Layer and Perimetry in the Diagnosis of Glaucoma


Authors: Š. Skorkovská 1;  J. Michálek 2;  M. Sedlačík 3;  Z. Mašková 1;  J. Kočí 1
Authors‘ workplace: Klinika nemocí očních a optometrie LF MU, Fakultní nemocnice U sv. Anny, Brno, přednosta doc. MUDr. S. Synek, CSc. 1;  Katedra aplikované matematiky a informatiky, Ekonomicko-správní fakulta MU, Brno, vedoucí doc. ing. O. Vašíček, CSc. 2;  Katedra ekonometrie, Univerzita obrany, Brno vedoucí doc. RNDr. J. Moučka, PhD. 3
Published in: Čes. a slov. Oftal., 63, 2007, No. 6, p. 403-414

Overview

Purpose:
To assess the correlation of the selected structural and functional methods in the diagnosis of glaucoma.

Methods:
The study group (SG) of 40 patients with primary open angle glaucoma with no or early visual field changes was compared to the control group (CG) of 40 healthy persons of similar age in the first year of prospective longitudinal study. All participants underwent the examination by means of Heidelberg retinal tomograph, photography of retinal nerve fiber layer, standard white-on-white perimetry, and blue-on-yellow perimetry. Only one eye of each examined person was evaluated. Significance was assessed by means of non-parametric test (Mann-Whitney) and the correlation analysis (Spearman) was performed as well.

Results:
No significant differences in age, visual acuity, and refraction between SG and CG were found. The central corneal thickness (p

Conclusion:
Combination of the structural and functional methods can positively improve diagnosis of early glaucoma and better recognize the progression of glaucomatous neuropathy of the optical nerve.

Key words:
glaucoma, perimetry, HRT, retinal nerve fiber layer, correlation


Labels
Ophthalmology
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