Publication: Capacidad diagnóstica de las diferentes herramientas de diagnóstico estructural en el glaucoma
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2018-04-03
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Universidad Complutense de Madrid
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Abstract
Los esfuerzos dirigidos a la detección temprana de la enfermedad glaucomatosa han hecho que se desarrollen las técnicas de análisis digital, permitiendo la existencia de diversos instrumentos de diagnóstico estructural que aportan parámetros de análisis de capa de fibras nerviosas de la retina (CFNR) a nivel peripapilar, de topografía papilar y de células ganglionares (CG) a nivel macular, de forma cuantitativa y objetiva. Cabe destacar la utilidad de tres tecnologías, como son la Tomografía de coherencia óptica (OCT), la Polarimetría láser (GDx) y el Láser confocal de barrido (HRT), cuya rentabilidad diagnóstica en la enfermedad glaucomatosa ha sido evaluada en el presente estudio. Material y métodos: Se ha realizado un estudio observacional transversal, en el que incluimos un total de 213 ojos, clasificados en tres grupos de diagnóstico: normales, hipertensos oculares (HTO) y glaucomas. Todos los pacientes fueron seleccionados siguiendo los siguientes criterios de inclusión: edad ≥50 años, defecto de refracción inferior a 5 dioptrías de esfera y 3 dioptrías de cilindro y medios ópticos transparentes...
The efforts aimed at the early detection of glaucomatous disease have led to the development of digital analysis techniques, allowing the existence of various structural diagnostic tools that contribute to a quantitative and objective analysis of retinal nerve fiber layer (RNFL) at the peripapillary level, papillary topography and ganglion cells (GC) at the macular area. It is noteworthy the usefulness of three technologies, such as Optical Coherence Tomography (OCT), Laser Polarimetry (GDx) and Confocal Scanning Laser (HRT), whose diagnostic profitability in glaucomatous disease has been evaluated in the present study. Material and methods: A cross-sectional observational study was performed, including a total of 213 eyes, classified into three diagnostic groups: normal, ocular hypertensive (OHT) and glaucoma. All patients were selected according to the following inclusion criteria: age ≥50 years, refractive error less than 5 diopters of sphere and 3 diopters of cylinder and transparent optical media...
The efforts aimed at the early detection of glaucomatous disease have led to the development of digital analysis techniques, allowing the existence of various structural diagnostic tools that contribute to a quantitative and objective analysis of retinal nerve fiber layer (RNFL) at the peripapillary level, papillary topography and ganglion cells (GC) at the macular area. It is noteworthy the usefulness of three technologies, such as Optical Coherence Tomography (OCT), Laser Polarimetry (GDx) and Confocal Scanning Laser (HRT), whose diagnostic profitability in glaucomatous disease has been evaluated in the present study. Material and methods: A cross-sectional observational study was performed, including a total of 213 eyes, classified into three diagnostic groups: normal, ocular hypertensive (OHT) and glaucoma. All patients were selected according to the following inclusion criteria: age ≥50 years, refractive error less than 5 diopters of sphere and 3 diopters of cylinder and transparent optical media...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Oftalmología y Otorrinolaringología, leída el 01/06/2017