Hightech in der Glaukomdiagnostik

 

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Zusammenfassung

Scanning-Laser-Tomographie (HRT, HRT II), Scanning-Laser-Polarimetrie (GDx Nerve Fiber Analyzer, GDx VCC), Netzhautdickenmessung (Retinal Thickness Analyzer, RTA) und optische Kohärenztomographie (OCT, Stratus OCT) können bei der Verlaufskontrolle von Glaukompatienten wichtige Zusatzinformationen liefern. Zur Diagnosestellung erscheinen sie zum jetzigen Zeitpunkt weniger geeignet. Die zu erwartenden Weiterentwicklungen der Hightech-Geräte sind viel versprechend. Klinische Untersuchung und Fundusfotografie stellen aber nach wie vor den Goldstandard in der Erfassung von glaukomatösen Veränderungen von Papille und retinaler Nervenfaserschicht dar.

Abstract

Scanning laser tomography (HRT, HRT II), scanning laser polarimetry (GDx nerve fibre analyser, GDx VCC), retinal thickness analyser (RTA) and optical coherence tomography (OCT, stratus OCT) provide objective measurements of the optic disc and the retinal nerve fibre layer suitable for the follow-up of glaucoma patients. Their ability to diagnose early glaucomatous damage is still limited but promising technical advances in this field can be expected in the future. For the moment, clinical examination and fundus photography still remain the gold standard for the assessment of glaucomatous optic disc and retinal nerve fibre layer damage.

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Mona Pache

Universitäts-Augenklinik Freiburg

Killianstr. 5

79106 Freiburg

Phone: 07 61/2 70 40 01

Fax: 07 61/2 70 41 31

Email: Mona.Pache@uniklinik-freiburg.de