Table of Contents
Advertisement
11 Corneal Thickness
Figure 93: Show 2 Exams Pachymetric showing an abnormal cornea in OD and OS
The progression index was 0.5 in OD and 0.8 in OS, i.e. lower than normal in both eyes.
Goldmann IOP (10 a.m.) was 18 mmHg in both eyes. The averages of two ocular response analyzer
measurements of Goldmann-correlated IOP, corneal compensated IOP and hysteresis were 19.6, 24.1
and 5.2 mmHg in OD and 16.7, 23.5 and 6.1 mmHg in OS. The optic nerve exam was difficult due to
opacification of the ocular media (early cataract) in both eyes, but demonstrated cupping of 0.8 in
both eyes.
HRT was not possible in OD due to impaired transparency of the ocular media (early cataract) and
had a below average quality in OS
(Figure
95).
Pascal Dynamic Contour Tonometer IOP measurements were not possible due to inadequate patient
cooperation and irregular reflexes in both eyes. Computerized visual field tests were inconclusive,
with diffuse vision loss in both eyes.
Examination with a specular microscope (BIO-OPTICS) demonstrated moderate guttae with loss of
normal endothelial mosaic. Cell counts were less than 1.000 cells per mm² in both eyes. This is a
case of moderate endothelial Fuchs' dystrophy and glaucoma with early cataract. These findings
constitute a formal indication for topical glaucoma treatment.
77
Hide quick links:
Advertisement
Table of Contents
