Diagnose und Therapie des Pseudoexfoliationsglaukoms

Jünemann, Anselm

doi:10.1007/s00347-012-2532-0

Cited by 8 publications

(6 citation statements)

References 65 publications

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“…The global prevalence of ExG varies considerably. It accounts for approximately 25% of open‐angle glaucoma worldwide (Jünemann ). In the Middle‐Norway eye‐screening study, on average, 60% of the glaucoma patients had ExG (Ringvold et al.…”

Section: Discussionmentioning

confidence: 99%

Comparing glaucoma medications and general demographics in a sample of glaucoma patients treated in private practice with nationwide registry data in Finland

Parkkari

Taipale

Uusitalo

2019

Acta Ophthalmologica

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To investigate the outpatient glaucoma care provided by Finnish private ophthalmologists and to compare this information with the data obtained from national databases. Methods: The data were collected by 13 investigators in 27 centres in southern Finland. Patient demography, relevant systemic diseases, possible history of ocular surgery, duration of glaucoma, intraocular pressure (IOP) and type of glaucoma were registered. Ocular hypertensive medication(s) used during the last 6 months were recorded using the generic name coded by the current ATC/ DDD index. The data were compared with a dataset obtained from the IMS Health database and the Social Insurance Institution of Finland (Kela). Results: In total, 568 patients from private ophthalmology clinics were included. Mean age was 70 years (range 30-90 years), and the mean duration of glaucoma was 8.3 years. In general, IOP control was good (mean 16.9 mmHg). The average cost of glaucoma treatment for a single study patient was 336 euros per year.The findings obtained from the survey were similar to those of the nationwide databases, although fewer of the more aggressive glaucoma cases were managed in the private clinics examined during the study. Conclusion:The study patients were treated effectively by private ophthalmologist. Their medication and the cost of medication were the same as in public clinics. Patients with aggressive glaucoma seem to be generally managed by public hospitals.

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Section: Discussionmentioning

confidence: 99%

Comparing glaucoma medications and general demographics in a sample of glaucoma patients treated in private practice with nationwide registry data in Finland

Parkkari

Taipale

Uusitalo

2019

Acta Ophthalmologica

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“…High IOP levels, IOP fluctuations with marked diurnal periods, and rapid and intense damage of the ONH might explain problems in the neuro imaging process. 38 …”

Section: Discussionmentioning

confidence: 99%

Significance of the disc damage likelihood scale objectively measured by a non-mydriatic fundus camera in preperimetric glaucoma

Pahlitzsch¹,

Torun²,

Erb³

et al. 2015

OPTH

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PurposeTo assess the correlation between the disc damage likelihood scale (DDLS) objectively measured by a non-mydriatic fundus camera, Heidelberg Retina Tomograph 3, and optic coherence tomography in preperimetric glaucoma.MethodsOne-hundred-twenty-five patients with preperimetric primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (n=30) were included (mean age 58.9±15.9 years). All three devices graded the optic disc topography: Diagnosis 1 was defined as “outside normal limits”, while Diagnosis 2 as “borderline or outside normal limits”.ResultsFor Diagnosis 1, a significant correlation was shown between DDLS and Moorfields regression analysis (P=0.022), and for Diagnosis 2 with glaucoma probability score analysis (P=0.024), in POAG. In pseudoexfoliation glaucoma, DDLS did not correlate significantly with Heidelberg Retina Tomograph 3 and optic coherence tomography. Regarding the area under the curve the highest predictive power was demonstrated by the objective DDLS (0.513–0.824) compared to Burk (0.239–0.343) and Mikelberg (0.093–0.270) coefficients.ConclusionsThe DDLS showed a significant correlation to the Moorfields regression analysis in preperimetric POAG. The objective DDLS showed the highest predictive power and thus is an additive tool in diagnosing preperimetric glaucoma.

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“…Disease management of PXFG poses a challenge in clinical practice since IOP is difficult to stabilize and the condition is known to produce significant fluctuations in IOP as well as rapid decompensation in IOP resulting in rapid loss of visual field. The aggressive nature of the disease demands adequate therapeutic interventions of which SLT has its place as a safe and repeatable adjunctive treatment [5]. Several studies have been published about IOP lowering after SLT treatment in POAG compared to PXFG showing similar reduction in both groups [6].…”

Section: Long-term Effect Of Selective Laser Trabeculoplasty On Intramentioning

confidence: 99%

Long-Term Effect of Selective Laser Trabeculoplasty on Intraocular Pressure in Pseudoexfoliation Glaucoma

Lindegger

Funk

Jaggi

2015

Klin Monatsbl Augenheilkd

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In this retrospective study a significant greater intraocular pressure lowering effect of selective laser trabeculoplasty could be seen in eyes with pseudoexfoliation compared to eyes without pseudoexfoliation only at time point 12 months after selective laser trabeculoplasty. Analyses revealed no significant intraocular pressure reduction compared to baseline values after 21 months in eyes with pseudoexfoliation and after 30 months in eyes without pseudoexfoliation.

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Diagnose und Therapie des Pseudoexfoliationsglaukoms

Cited by 8 publications

References 65 publications

Comparing glaucoma medications and general demographics in a sample of glaucoma patients treated in private practice with nationwide registry data in Finland

Comparing glaucoma medications and general demographics in a sample of glaucoma patients treated in private practice with nationwide registry data in Finland

Significance of the disc damage likelihood scale objectively measured by a non-mydriatic fundus camera in preperimetric glaucoma

Long-Term Effect of Selective Laser Trabeculoplasty on Intraocular Pressure in Pseudoexfoliation Glaucoma

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