Abstract
1/2008
vol. 110
Case report
Evaluation of the applicability of selected methods in glaucoma diagnosis in a patient with optic disc drusen. Case report
- Z Kliniki Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie
Online publish date: 2008/03/17
Purpose: The aim of the study is an evaluation of applicability of selected test in glaucoma diagnosis in a patient with optic disc drusen.
Material and methods: The authors describe a case of a patient examined for glaucoma because of an increased intraocular pressure
and deterioration of vision. The optic disc drusen were found in the patient by ophthalmoscopy and confirmed by ultrasonography. The
patient was examined by the scanning laser ophthalmoscopy HRT, scanning laser polarymetry GDX, retina thickness analysis RTA and
determination of the visual field.
Results: Results of diagnostic studies were presented in the paper. The scanning laser ophthalmoscopy did not evidence any presence
of glaucomatous cup in the optic nerve head. The scanning laser polarymetry showed extensive losses in nerve fiber layer of retina and
the retinal thickness analysis showed a reduction of the retina thickness in the posterior pole. Study of the vision field evidenced the
relative and absolute scotomas.
Conclusions: The results show a necessity for careful evaluation of the glaucoma examination results in patients with drusen in the
optic nerve head, because of a high similarity of abnormalities produced by both diseases.
Material and methods: The authors describe a case of a patient examined for glaucoma because of an increased intraocular pressure
and deterioration of vision. The optic disc drusen were found in the patient by ophthalmoscopy and confirmed by ultrasonography. The
patient was examined by the scanning laser ophthalmoscopy HRT, scanning laser polarymetry GDX, retina thickness analysis RTA and
determination of the visual field.
Results: Results of diagnostic studies were presented in the paper. The scanning laser ophthalmoscopy did not evidence any presence
of glaucomatous cup in the optic nerve head. The scanning laser polarymetry showed extensive losses in nerve fiber layer of retina and
the retinal thickness analysis showed a reduction of the retina thickness in the posterior pole. Study of the vision field evidenced the
relative and absolute scotomas.
Conclusions: The results show a necessity for careful evaluation of the glaucoma examination results in patients with drusen in the
optic nerve head, because of a high similarity of abnormalities produced by both diseases.
Integrated with