Citation:Hentova-Sencanic P,Sencanic I,Trajkovi? G,Bozic M,Bjelovic N.Agreement in identification of glaucomatous progression between the optic disc photography and Heidelberg retina tomography in young glaucomatous patients.Int J Ophthalmol 2014;7(3):474-479,doi:10.3980/j.issn.2222-3959.2014.03.16
Agreement in identification of glaucomatous progression between the optic disc photography and Heidelberg retina tomography in young glaucomatous patients
Received:July 26, 2013  Revised:October 08, 2013
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DOI:10.3980/j.issn.2222-3959.2014.03.16
Key Words:optic disc  juvenile glaucoma  Heidelberg Retina Tomography
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Conflicts of Interest: Hentova-Sencanic P, None; Sencanic I, None; Trajkovi? G, None; Bozic M, None; Bjelovic N, None.
              
AuthorInstitution
Paraskeva Hentova-Sencanic Faculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade 11000, Serbia
;Clinic for Eye Diseases, Clinical Center of Serbia, Pasterova 2, Belgrade 11000, Serbia
Ivan Sencanic Clinic for Eye Diseases, University Medical Centre Zvezdara, Dimitrija Tucovica 161, Belgrade 11000, Serbia
Goran Trajkovi? Insitute of Statistics, Faculty of Medicine, University of Belgrade, Serbia, Dr Subotica 8, Belgrade 11000, Serbia
Marija Bozic Faculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade 11000, Serbia
;Clinic for Eye Diseases, Clinical Center of Serbia, Pasterova 2, Belgrade 11000, Serbia
Nevena Bjelovic Center for Vision Oftalmika, Strahinjica bana 78, Belgrade 11000, Serbia
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Abstract:
      AIM:To evaluate concordance between the clinical assessment of glaucomatous progression of the optic disc photography and progression identified by Heidelberg Retina Tomograph (HRT) in patients with suspected primary juvenile open angle glaucoma (JOAG).

    METHODS:Optic disc photographs and corresponding HRT Ⅱ series were reviewed. Optic disc changes between first and final photographs were noted as well as progression identified by HRT topographic change analysis (TCA) and rim area regression line (RARL) Agreement between progression indentified by photography and HRT methods was assessed. Progression, determined from optic disc photographs by consensus assessment was used as the reference standard.

    RESULTS: A total of 31 patients (59 eyes) with suspected JOAG were studied. Agreement for progression/no progression between TCA and photography was obtained in 4 progressing eyes and 38 stable eyes (71.19%, k=0.11). Agreement for progression/no progression between RARL and photography was detected in 5 progressing eyes and in 34 stable eyes (66.10%, k=0.15). The number of HRT per patient was statistically higher in the progressing group (P=0.034).

    CONCLUSION:Agreement for detection of longitudinal changes between photography and HRT analysis was poor. One way to improve the chance of discovery of the progression could be increasing the number of HRT examinations.

PMC FullText Html:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067662/
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