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PubMed · 1465343

[How is simplex glaucoma diagnosed?].

Abstract

Although glaucoma has traditionally been regarded as a disease affecting people over 60 years of age, improved diagnostic methods now enable glaucoma-related changes to be detected already in the 35-40-year-old age group, long before any functional visual changes are present. Since there is no treatment capable of restoring lost visual capacity, the diagnosis should be made and treatment initiated at an early stage before visual deterioration has become manifest. Measurements of intra-ocular pressure and visual acuity provide insufficient guidance, whereas periodic photography of the nerve fibre layer yields early diagnostic information and an indication of the appropriate individual level of intra-ocular pressure to prevent progression of the disease.

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BibTeXRIS

A Tuulonen. 1992. [How is simplex glaucoma diagnosed?].. https://pubmed.ncbi.nlm.nih.gov/1465343/

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Increased disk size in glaucomatous eyes vs normal eyes in the Reykjavik eye study.

PURPOSE: To evaluate the use of disk diameter as an indicator in the identification of glaucomatous optic neuropathy. METHODS: We evaluated all available stereofundus photographs for 1,040 right eyes obtained in the Reykjavik Eye Study. Horizontal and vertical disk diameters were determined in a masked manner by a glaucoma specialist (K.F.D.). All disk diameters were corrected for refractive error. RESULTS: There were significant differences (P <.05) between the corrected vertical disk diameters of normal subjects (0.189 +/- 0.018 inches) and those suspected of having glaucoma (0.202 +/- 0.020 inches) as well as between the normal and the glaucoma groups (0.206 +/- 0.029 inches). The corrected horizontal measurement showed the same pattern. CONCLUSIONS: In the Reykjavik Eye Study, optic disks meeting structural criteria for glaucoma are significantly larger than normal nerves.

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