Wydanie 1/2011
str. 37

Obrazowanie odcinka przedniego gałki ocznej w diagnostyce jaskry młodzieńczej

Anterior Segment Imaging in Juvenile Glaucoma Diagnostics

Ewa Pieczara2, Maria Formińska-Kapu¶cik1,2, Erita Filipek1,2, Paweł Banasiak2, Piotr Berezowski2, Bogumiła Wójcik-Niklewska2

1 Klinika Okulistyki Dziecięcej Katedry Okulistyki ¦l±skiego Uniwersytetu Medycznego w Katowicach
2 Samodzielny Publiczny Szpital Kliniczny nr 5 ¦l±skiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Maria Formińska-Kapu¶cik


Summary: The average onset of juvenile glaucoma is between age of 10 and 35 years and it consists of 0.7% of all glaucoma cases. Among the European Glaucoma Society’s terminology form 2008 it can be classified as a primary open-angle juvenile glaucoma. Non-characteristic symptoms such as headaches, eyesores, neurotic syndrome can make the diagnosis more difficult.
Intraocular pressure measured before treatment is often greater than 21 mm Hg. Intraocular pressure fluctuations and differences in the pressure between both eyes greater than 4 mmHg are characteristic in juvenile glaucoma.
In the Silesian Medical University Children Ophthalmology Clinic in Katowice between 2006 and 2010 children referred to hospital with suspected juvenile glaucoma consisted of 1.31 to 5.88% of all patients. The most frequent cause is the optic nerve cupping bigger than 0.3 and headaches.
In the paper we are going to present the anterior segment imaging on the example of a 16-year-old boy referred for diagnostics with suspected juvenile glaucoma due to the increased optic nerve cupping compared to the healthy individual of the same age.
In AS-OCT examination the following parameters were evaluated: central corneal thickness – CCT (micrometers), anterior chamber depth – ACD (millimeters), iridocorneal angle width – ICA (degrees) – both nasal and temporal.
The anterior segment imaging in AS-OCT is very helpful in the juvenile glaucoma diagnosis.

Słowa kluczowe: optyczna koherentna tomografia odcinka przedniego, jaskra młodzieńcza, dzieci, diagnostyka.

Keywords: AS OCT, juvenile glaucoma, diagnosis.


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