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Vojnosanitetski pregled
2014, vol. 71, br. 4, str. 341-345
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP1404341R


Parametri Hajdelberg tomografije II mrežnjače u proceni progresije glaukoma pri visokom i normalnom očnom pritisku
aFaculty of Medicine, Belgrade + Medical Center Zvezdara, Eye Clinic, Belgrade
bOphthalmology Clinic 'Perfect Vison', Subotica
cFaculty of Medicine, Belgrade + Clinical Center of Serbia, Institute of Ophthalmology, Belgrade
dKBC Zvezdara

e-adresa: ranko2010@gmail.com

Sažetak

Uvod/Cilj. Heidelberg retina tomography (HRT II) koristi se za kvantitativnu procenu topografije optičkog diska očiju sa glaukomom kod povećanog intraokularnog pritiska (high-pressure glaucoma - HPG) i kod normalnog intraokularnog pritiska (normal-pressure glaucoma - NPG) da bi se utvrdilo koji od globalnih i segmentnih parametara optičkog diska mogu biti najpodesniji za praćenje progresije ova dva poremećaja. Metode. Urađena je analiza rezultata dobijenih za 73 oka 73 bolesnika sa HPG i NPG u odnosu na starost bolesnika, refraktivnu grešku, kvalitet HRT snimaka i stereometrijske parametre. Rezultati. Utvrđena je statistički značajna razlika (p < 0,05) između globalnih početnih vrednosti i rezultata praćenja u zapremini oboda, maksimalnoj dubini ekskavacije i parametrima trećeg momenta (grupa HPG) i u odnosu C/D, zapremini ekskavacije, zapremini oboda i parametrima trećeg momenta (grupa NPG). Početne vrednosti i rezultati praćenja retinalnog sloja nervnih vlakana u temporalnom i inferotemporalonom sektoru pokazali su statistički značajnu razliku u obe grupe. Zaključak. Nekoliko HRT II stereometrijskih parametara korisno je za praćenje progresije promena na optičkom disku i okolnoj mrežnjači kod bolesnika sa HPG i NPG. Za analizu progresije glaukoma korisno je, prema tome, praćenje i segmentnih i globalnih parametara optičkog diska.

Ključne reči

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