RESUMO
Primary angle closure glaucoma is usually a bilateral disease, though it may be asymmetrical. However, it is unusual to see advanced glaucoma in one eye and no disk damage in the other. We present a case of unilateral angle closure glaucoma complicated by an optic disk pit and iridociliary cysts. How to cite this article: Kaushik S, Ichhpujani P, Kaur S, Pandav SS. Optic Disk Pit and Iridociliary Cyst Precipitating Angle Closure Glaucoma. J Current Glau Prac 2014;8(1): 33-35.
RESUMO
Young patients are more prone to ocular trauma but most of the published studies describe complicated cataract as a result of trauma with its treatment modality. As a result, little is known about the different causes, common presenting signs and symptoms, visual outcomes, and most frequent management modalities of traumatic glaucoma in children. This review aims to study the demographical profile, presentation, management and outcome of traumatic glaucoma in children as well as the various factors associated with advanced glaucomatous changes. How to cite this article: Kaur S, Kaushik S, Pandav SS. Traumatic Glaucoma in Children. J Curr Glaucoma Pract 2014; 8(2):58-62.
RESUMO
The pediatric glaucomas present some of the greatest clinical challenges. Uveitic glaucoma is a pathology whose causes and treatment are still a great enigma to all glaucoma specialists. We describe the spectrum of pediatric uveitic glaucoma along with its risk factors and the outcome of treatment in this subgroup. Our paper aims to review the existing literature on the subject and throw light on how to manage these cases. How to cite this article: Kaur S, Kaushik S, Pandav SS. Pediatric Uveitic Glaucoma. J Current Glau Prac 2013;7(3): 115-117.
RESUMO
PURPOSE: To compare retinal nerve fiber layer (RNFL) thickness and diagnostic capability of spectral-domain (CirrusTM) versus time-domain (Stratus®) optical coherence tomography (OCT). METHODS: A total of 123 eyes of 123 subjects including 68 normal, 32 glaucoma suspect, and 23 patients with glaucoma were prospectively recruited for the study. All subjects were scanned by Stratus® and CirrusTM OCT in the same session. Average and quadrant peripapillary RNFL measurements by both machines were correlated using Spearman correlation coefficient, and agreement between testing methods was analyzed by Bland-Altman plots. The area under receiver operating characteristic curves (AUC) for glaucoma diagnosis was calculated. RESULTS: Average RNFL thickness were significantly thinner on the CirrusTM compared to the Stratus® OCT in normal subjects and glaucoma suspects (p<0.001), but thicker on the CirrusTM OCT in glaucoma patients, though the difference was not statistically significant (p = 0.53). There was good correlation between the measurements in all 3 groups. In normal controls, the average, superior, nasal, inferior, and temporal correlations were r = 0.668, 0.601, 0.508, 0.620, and 0.660, p<0.001, respectively. In glaucomatous eyes, the corresponding values were r = 0.560, p = 0.005; r = 0.423, p = 0.04; r = 0.117, p = 0.596; r = 0.742, p<0.001; r = 0.669, p<0.001, respectively. The 95% limits of agreement of average RNFL thickness were -30.2 to 13.8 µm. Area under receiver operating characteristic curves for diagnosing glaucoma were comparable (superior RNFL thickness by CirrusTM 0.925; average RNFL thickness by Stratus® 0.987). Highest correlated AUCs were for inferior and temporal quadrants. CONCLUSIONS: Retinal nerve fiber layer measurements on the CirrusTM and Stratus® OCT correlate well but do not have clinically acceptable agreement between their measurements. The instruments may not be used interchangeably.
