PURPOSE: To determine whether retinal nerve fiber layer (RNFL) photographs can predict future glaucoma visual field damage. METHODS: In a prospective study 158 red free photographs of the RNFL were made from November 1994 to June 1995. 28 eyes of 19 patients with ocular hypertension (repeated intraocular pressure over 21 mmHg and normal visual fields--Peristat 433 Rodenstock--at first examination) could be re-examined for an average time of 42.3 (SD 4.5) months. RESULTS: Only in one eye with normal RNFL at the first examination typical glaucoma visual field defects appeared (6%), but in 6 of 12 eyes (50%) with photographically demonstrable RNFL defects. The difference was statistically significant. CONCLUSION: There is only a minor probability, that visual field defects would appear during 3-5 years in eyes with normal RNFL photographs (6%), but about 50% of eyes with originally found RNFL defects.

• MeSH
• dospělí MeSH
• fotografování MeSH
• glaukom patologie   patofyziologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nervová vlákna patologie   MeSH
• oční hypertenze patologie   patofyziologie   MeSH
• prospektivní studie MeSH
• retina patologie   MeSH
• senioři MeSH
• zraková pole * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• práce podpořená grantem MeSH

The optic nerve disc of short-sighted children with elevated intraocular pressure was investigated to achieve early assessment of glaucoma and to detect signs which differentiate changes in the disc caused by short-sightedness from changes caused by glaucoma. The authors examined 16 eyes of 8 short-sighted children with elevated intraocular pressure. In addition to the basic ophthalmological examination they made a digital analysis of the optic nerve disc incl. planimetric evaluation of the dimensions of the disc, excavation and the neuroretinal rim. In two patients despite the higher intraocular pressure the area of the rim was supraliminal. In three patients the narrower area of the neuroretinal rim increased the probability of glaucoma In two patients with anisometropia on the eye with greater myopia the intraocular pressure was higher and the neuroretinal rim narrower as compared with the other eye. In one patient the area of the rim was very narrow and the diagnosis of glaucoma was confirmed also by arcuate scotoma in the lower part of the visual field corresponding to the narrow rim on top.

• MeSH
• discus nervi optici patologie   MeSH
• lidé MeSH
• mladiství MeSH
• myopie komplikace   patologie   MeSH
• oční hypertenze komplikace   patologie   MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH