한국인의 건강검진시 무산동 디지털 안저 사진기를 이용한 녹내장성 시신경변화의 조기발견

• 영문명: Early Detection of Glaucomatous Optic Nerve Abnormality by Nonmydriatic Digital Fundus Camera in a Routine Health Check-up
• 발행기관: 대한안과학회
• 저자명: 김준모 박기호,Joon Mo Kim, M.D., Ki Ho Park, M.D.,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number4, 587~592쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.04.30

영문 초록

Purpose: To investigate the usefulness of the non-mydriatic digital fundus camera for detection of normal-tension glaucoma in routine health check-ups. Methods: Among 1986 persons who received a routine health check-up in the Kangnam Health Care Center of Seoul National University Hospital (SNUH) from October to December 2003, 60 patients were referred to the Glaucoma Clinic of SNUH due to a suspicious optic nerve head or a retinal nerve fiber layer (RNFL) defect detected by a non-mydriatic digital fundus camera. The glaucoma work-up was performed, including Goldmann applanation tonometry, red free RNFL photography, Humphrey visual field (HVF), Stratus OCT and HRT II. Results: Among 60 patients with a suspicious optic nerve head or suspected RNFL defect, 23 patients showed a retinal nerve fiber layer defect on red free RNFL photography. Those 23 patients had already demonstrated possible RNFL defects on photographs taken by a non-mydriatic digital fundus camera at their routine health check-up. In comparison with the normal, high PSD value of HVF (p=0.002), the narrow neuroretinal rim area shown by OCT (p=0.05) and HRT (p=0.02) were significantly different statistically. Conclusions: The non-mydriatic digital fundus camera can serve as a useful tool to screen normal-tension glaucoma in routine health check-up systems. However, the final diagnosis of glaucoma should be confirmed by red free RNFL photography and standard automated perimetry.

키워드

Non-mydriatic digital fundus camera, Normal-tension glaucoma, Routine health check-up