Glaucoma; Case 1: General Screening By Tobias H. Neuhann, Md - OCULUS Pentacam Interpretation Manual

9

Glaucoma

9 Glaucoma
9.1 Case 1: General screening
by Tobias H. Neuhann, MD
A 48-year-old white male patient presented for a second opinion on his glaucoma treatment. His
father and grandfather had had glaucoma. After ten years of glaucoma medical treatment his
ophthalmologist was now recommending a second medication. We measured 24 mmHg with a
Goldmann tonometer.
Figure 38: 4 Maps Refractive revealing a thick cornea
Examination with the Pentacam® 4 Maps Refractive display
of 728 μm, resulting in a corrected IOP of 11 mmHg according to the Dresdner scale. Further
examination on the Heidelberg-Retina-Tomograph (HRT) revealed a healthy optic nerve, and we
therefore advised the patient to stop his medication. His IOP today is between 19 and 22 mmHg
during the daytime. We are still seeing him 4 times a year for an IOP and HRT checkup
Figure 40).
Figure 39: HRT Image
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(Figure 38) yielded a corneal thickness
Figure 40: HRT Image
(Figure 39,