| Early Detection of Glaucoma with Retinal Nerve Fiber Layer Photograph. |
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Seoung Je Park, Ki Ho Park, Young Suk Yu, Dong Myung Kim, Hum Chung, Jaeheung Lee |
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Department of Ophthalmology, Seoul National University, College of Medicine, Seoul, Korea. |
| 망막신경섬유층활영을 이용한 녹내장의 조기 발견 |
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박성제(Seoung Je Park),박기호(Ki Ho Park),유영석(Young Suk Yu),김동명(Dong Myung Kim),정 흠(Hum Chung),이재흥(Jaeheung Lee) |
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| Abstract |
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The purpose of this study was to evaluate the usefulness of retinal nerve fiber layer [RNFL] photography and Heidelberg Retina Tomograph [HRT, Heidelberg, Germany] in early detection of glaucoma. Among 2802 people who underwent routine health checkup at. Seoul National University Hospital from July I to Decernber 31, 1996, forty-nine persons were included whose IOP was above 21mmHg or cup/disc ratio was 0.5 or greater. RNFL photography, HRT and automated perimetry [Humphrey Field Analyzer, program C30-2] were performed. Twelve eyes were diagnosed as glaucoma and one sye as glaucoma suspect. Four eyes with glaucoma had RNFL defect with normal visual field and 7 eyes with glaucoma had both RNFL defect and glaucomatous visual field defect. Of 26 eyes suggested as glaucoma by FSM classification of HRT, only 8 eyes met the diagnostic cri-teria of glaucoma of this study. Among 21 eyes with decreased hump height in HRT only 7 eyes were diagnosed as glaucoma. RNFL photography increased the detection rate for glaucoma by 50% over that with visual field test. only. RNFL photography will be a valuable method for early detection of glaucorna while HRT may play a suppleinentary role. |
| Key Words:
Early detection of glaucoma;Heidelberg Retina Tomograph;Retinal nerve fiber layer photography |
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