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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
Rarebit perimetry and optic disk topography in pediatric glaucoma
Lene M Martin1, Anna Lundvall Nilsson
1Department of Clinical Neuroscience, Ophthalmology, and Vision, Karolinska Institutet, Stockholm, Sweden.
Journal of Pediatric Ophthalmology and Strabismus
|August 19, 2007
Summary
Rarebit perimetry effectively detects glaucomatous damage in pediatric glaucoma patients, correlating well with Heidelberg retinal tomography findings for diagnosis and follow-up.
Area of Science:
- Ophthalmology
- Pediatric Glaucoma Research
- Diagnostic Imaging
Background:
- Pediatric glaucoma presents unique diagnostic challenges.
- Assessing visual field and optic nerve topography is crucial for management.
Purpose of the Study:
- To investigate the relationship between visual field and optic nerve topography in pediatric glaucoma.
- To evaluate the utility of Rarebit perimetry and Heidelberg retinal tomography in this population.
Main Methods:
- A cohort of 15 children with pediatric glaucoma and 15 age- and sex-matched controls were studied.
- Visual acuity, perimetry (Goldmann and Rarebit), and Heidelberg retinal tomography were performed.
Main Results:
- Rarebit perimetry identified glaucomatous damage in 67% of pediatric glaucoma eyes, with 33% showing normal results.
- Heidelberg retinal tomography showed high concordance with Rarebit findings (Cohen's kappa = 0.79).
- A significant correlation was found between Rarebit hit rate and Heidelberg retinal tomography glaucoma index.
Conclusions:
- Rarebit perimetry is valuable for diagnosing and monitoring pediatric glaucoma.
- Heidelberg retinal tomography results align well with Rarebit perimetry findings.
- Combined use of these methods aids in understanding glaucoma progression in children.
