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Agreement in identification of glaucomatous progression between the optic disc photography and Heidelberg Retina Tomography in young glaucomatous patients

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International Journal of Ophthalmology(English edition) 2014年第3期7卷 474-479页

作者： Paraskeva Hentova-Sencanic Ivan Sencanic Goran Trajkovic Marija Bozic Nevena Bjelovic Faculty of Medicine University of Belgrade Dr Subotica 8Belgrade 11000 Serbia Clinic for Eye Diseases Clinical Center of Serbia Pasterova 2 Belgrade 11000 Serbia Clinic for Eye Diseases University Medical Centre Zvezdara Dimitrija Tucovica 161 Belgrade 11000 Serbia Insitute of Statistics Faculty of Medicine University of Belgrade Serbia Dr Subotica 8 Belgrade 11000 Serbia Center for Vision Oftalmika Strahinjica bana 78 Belgrade 11000 Serbia

AIM:To evaluate concordance between the clinical assessment of glaucomatous progression of the optic disc photography and progression identified by Heidelberg Retina Tomograph(HRT)in patients with suspected primary juvenile open angle glaucoma(JOAG).METHODS:Optic disc photographs and corresponding HRTⅡseries were *** disc changes between first and final photographs were noted as well as progression identified by HRT topographic change analysis(TCA)and rim area regression line(RARL)Agreement between progression indentified by photography and HRT methods was ***,determined from optic disc photographs by consensus assessment was used as the reference ***:A total of 31 patients(59 eyes)with suspected JOAG were *** for progression/no progression between TCA and photography was obtained in 4 progressing eyes and 38stable eyes(71.19%,k=0.11).Agreement for progression/no progression between RARL and photography was detected in 5 progressing eyes and in 34 stable eyes(66.10%,k=0.15).The number of HRT per patient was statistically higher in the progressing group(P=0.034).CONCLUSION:Agreement for detection of longitudinal changes between photography and HRT analysis was *** way to improve the chance of discovery of the progression could be increasing the number of HRT examinations.

关键词： optic disc juvenile glaucoma Heidelberg Retina Tomography

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