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Early diagnosis of glaucoma
Author(s) -
Odberg Tor,
Riise Dag
Publication year - 1985
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1985.tb06801.x
Subject(s) - optic disc , glaucoma , medicine , ophthalmology , optic cup (embryology) , intraocular pressure , ocular hypertension , pathological , visual field , elevated intraocular pressure , optic disk , optometry , biochemistry , chemistry , gene , eye development , phenotype
A group of 46 patients with ocular hypertension (initial pressure 22–30 mmHg) have been followed prospectively for 5–7.5 years, with special emphasis on optic disc changes. A stereophoto of the disc was taken at each consultation. So far, 24 patients have been put on anti‐glaucoma therapy. A slight increase in disc cupping revealed by stereophoto was the first pathological finding in 19 patients. Only one patient developed a field defect without visible disc changes. Neither disc description, cup/disc ratio measurement nor disc drawing were accurate enough to disclose small changes in the cup size. Considerably more patients in the treatment group had a pressure rise of 5 mm or more and repeated intraocular pressures of 30 mm or more during the observation. Stereophotography of the optic disc was found to be a valuable method in the diagnosis of early glaucoma.