What is the best method for diagnosing glaucoma?

Jemaima Che Hamzah, Augusto Azuara-Blanco

Research output: Contribution to journalArticle

Abstract

Glaucoma is characterized by a typical appearance of the optic disc and peripheral visual field loss. However, diagnosis may be challenging even for an experienced clinician due to wide variability among normal and glaucomatous eyes. Standard automated perimetry is routinely used to establish the diagnosis of glaucoma. However, there is evidence that substantial retinal ganglion cell damage may occur in glaucoma before visual field defects are seen. The introduction of newer imaging devices such as confocal scanning laser ophthalmoscopy, scanning laser polarimetry and optical coherence tomography for measuring structural changes in the optic nerve head and retinal nerve fiber layer seems promising for early detection of glaucoma. New functional tests may also help in the diagnosis. However, there is no evidence that a single measurement is superior to the others and a combination of tests may be needed for detecting early damage in glaucoma.

Original languageEnglish
Pages (from-to)463-474
Number of pages12
JournalExpert Review of Ophthalmology
Volume5
Issue number4
DOIs
Publication statusPublished - Aug 2010

Fingerprint

Glaucoma
Optics
Scanning
Optic Disk
Visual Fields
Polarimeters
Lasers
Optical tomography
Scanning Laser Polarimetry
Ophthalmoscopy
Cells
Visual Field Tests
Retinal Ganglion Cells
Optical Coherence Tomography
Imaging techniques
Defects
Nerve Fibers
Fibers
Equipment and Supplies

Keywords

  • confocal scanning laser ophthalmoscopy
  • CSLO
  • diagnosis
  • glaucoma
  • imaging technology
  • OCT
  • optic disc
  • optical coherence tomography
  • SAP
  • scanning laser polarimetry
  • SLP
  • standard automated perimeter
  • visual field

ASJC Scopus subject areas

  • Ophthalmology
  • Biomedical Engineering
  • Optometry

Cite this

What is the best method for diagnosing glaucoma? / Che Hamzah, Jemaima; Azuara-Blanco, Augusto.

In: Expert Review of Ophthalmology, Vol. 5, No. 4, 08.2010, p. 463-474.

Research output: Contribution to journalArticle

Che Hamzah, Jemaima ; Azuara-Blanco, Augusto. / What is the best method for diagnosing glaucoma?. In: Expert Review of Ophthalmology. 2010 ; Vol. 5, No. 4. pp. 463-474.
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