시신경유두 모양에 따른 녹내장 진단 및 망막신경섬유층 양상 분석

• 영문명: Analysis of Clinical Types and Retinal Nerve Fiber Layer According to Optic Disc Appearances
• 발행기관: 대한안과학회
• 저자명: 노보근 김용연 정해륜,Bo-Kun Roh, M.D., Yong-Yeon Kim, M.D., Hai-Ryun Jung, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number11, 1823~1830쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.11.30

영문 초록

Purpose: To evaluate the clinical characteristic of retinal nerve fiber layer (RNFL) and The clinical types of glaucoma according to optic disc appearances. Methods: Sixty eyes in 60 patients with glaucoma were evaluated retrospectively. Complete ophthalmologic examination, optical coherent tomography (OCT), automated perimetry, stereoscopic optic disc photography and RNFL photography were performed. We classified optic disc pattern into focal, myopic, generalized enlargement, senile sclerotic, and normal appearance types. Results: In 60 eyes with glaucoma, 15 eyes were adult-onset primary open-angle glaucoma (Adult-onset POAG), 22 eyes were normal-tension glaucoma (NTG), 10 eyes were juvenile-onset open-angle glaucoma (JPOAG), and 13 eyes were secondary glaucoma. JPOAG patients were significantly more detected in association with myopic optic disc type (P<0.05). OCT- measured temporal RNFL thickness in focal optic disc pattern were significantly lower than that in myopic optic disc pattern (P<0.05). Age was significantly correlated with temporal RNFL thickness in our study subjects (P<0.036, r=-0.272). Conclusions: Our study revealed that JPOAG patients may have a relationship with myopic optic disc type. OCT-measured RNFL thickness of glaucoma patients particularly in the temporal quadrant may be related to age.

키워드

Glaucoma, Optic disc appearances, Optical coherent tomography, Retinal nerve fiber layer