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- Martin-Boglind, Lene, et al.
(author)
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The effect of topical antiglaucoma drugs on the results of high-pass resolution perimetry
- 1991
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In: American Journal of Ophthalmology. - 0002-9394 .- 1879-1891. ; 11:6, s. 711-714
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Journal article (peer-reviewed)abstract
- We conducted a randomly assigned, double-masked, crossover study of the effects of betaxolol, epinephrine, pilocarpine, and timolol on the high-passresolution perimetry results in normal subjects. The influence of topical administration of these intraocular pressure reducing drugs was negligible, which confirmed the reliability of high-pass resolution perimetry results. The method seems appropriate for the diagnosis of glaucoma and the follow-up ofpatients with glaucoma.
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| 6. |
- Wanger, Peter, 1940-, et al.
(author)
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Management of ocular hypertension and open-angle glaucoma : clinical practice and computer-assisted decision-making
- 1997
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In: Acta Ophthalmologica Scandinavica. - : Wiley. - 1395-3907 .- 1600-0420. ; 75:6, s. 700-704
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Journal article (peer-reviewed)abstract
- Purpose: To evaluate the feasibility of computerized decision support in the management of patients with open angle glaucoma or ocularhypertension. Method: Based on a Swedish consensus document a computer program was developed, which provided one of 25 different recommendations for appropriate action. In 373 patient visits to seven different eye clinics, the program's recommendations were compared to the actual decisions made by the responsible ophthalmologists. Results: Notable differences were observed between the clinics' managementstrategies, especially regarding follow-up frequency and start or increase of antiglaucoma treatment. The program's recommendations conformed with the clinical decisions in 23 to 92% of the cases when a standard management strategy was simulated. The concordance increased to 93 to 100%, when policy differences between the clinics were taken into account. Conclusion: Clinical decision-making in the management of patients with ocular hypertension or open angle glaucoma can be implemented in a computer program. The optimum management protocol remains to be defined.
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| 7. |
- Wanger, Peter, 1940-, et al.
(author)
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Optic disc parameters in manifest and suspectedglaucoma
- 2011
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In: Eye Reports. - 2039-4756. ; 1:12
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Journal article (peer-reviewed)abstract
- Structure and function measurements are important in glaucoma management. Digital fundus photography has become a standard procedure and the Heidelberg Retina Tomograph (HRT), commonly used by glaucoma specialists, provides a glaucoma probability score (GPS). The visual field index (VFI) is a novel statistic, aiming to facilitate follow-up of glaucoma patients. The aim of this study was to compare the results from the digital analysis of fundus photographs with HRT measurements including GPS and VFI in patients with ocular hypertension, suspect glaucoma or glaucoma, and if possible define an optic disc index, useful in glaucoma diagnosis. Fifty-eight consecutive patients from a glaucoma service were included. Optic disc parameters (disc and cup areas) were measured on digital fundus photographs, using a semi-automatic method, and compared with the GPS from the HRT and the VFI from standard automated perimetry. A significant relationship was observed between the GPS group classification (normal, borderline, or abnormal) and VFI classification (normal or abnormal), both when the GPS borderline group was regarded as normal (P = 0.0038 Fisher test) and as abnormal (P=0.0179, kappa = 0.33). No significant relationship was observed between VFI and optic disc parameters. The threedimensional information in the GPS appears to be more related to visual function, as measured by VFI, than the planimetric measures of the optic disc.
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