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Abstract #8649 Published in IGR 5-1
Clinical aspects of normal pressure glaucoma
Grigor'eva EGVestnik Oftalmologii 2003; 119: 7-10
A comprehensive ophthalmological examination of 45 patients (76 eyes) with normal pressure glaucoma (confirmed in hospital using tonography, computer perimetry with the Humphrey-720 field analyzer being applied and by photometry of the optic nerve disc with the Nidec fundus-chamber being applied) was carried out. Polymorphism of clinical manifestations of the disease and specific features of such manifestations with regard for an initial level of the ophthalmic tone were revealed. Old age, the condition of the anterior segment and hydrodynamic parameters close to the age norm, a pronounced saucer-shaped or asymmetric excavation, and segment-type nature of visual field defects were found to be more typical for glaucomatous patients with a relatively low intraocular pressure (IOP; ≤ 20 mmHg according to Maklakov). Younger age, dystrophic changes in the iris and drainage zone similar to those occurring at typical primary open-angle glaucoma, low indices of secretion combined with low indices of intraocular fluid discharge, predominant symmetric excavation and diffuse reduction of light sensitivity along the periphery with a predominant damage of the nasal segments were found to be more typical for glaucomatous patients with relatively high IOP (≤ 26 mmHg). The described clinical aspects enable a timely diagnosis of the disease and an adequate choice of treatment.LA: Russian
Classification:
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
