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Glaucoma
Continuum Undiagnosed
Population Why ON
Imaging? Imaging 
Technologies Interactive 
Case Studies Guide to
Glaucoma
Case Study 3

Case Study 3

A 41 year-old man presents with:

  • Visual acuity: 20/20 (6/6)
  • Tonometric Assessment (untreated): 34 mm Hg
  • Tonometric Assessment [on prostaglandin analogue (PGA)]: 18 mm Hg
  • Central Corneal Thickness: 520 µm
  • Refraction: -1.00 sph

AND

  • GHT outside statistically normal limits:
    • Mean Deviation -14.08 dB, P<0.05
    • Pattern Standard Deviation 16.42 dB, P<0.05
    • Short-term Fluctuation 0.83 dB
    • Corrected Pattern Standard Deviation 16.39 dB, P<0.05

 

Where would you place this patient on the glaucoma continuum? Select the stage by clicking on the appropriate radio button.

 

What is your strategy for dealing with this patient?

Now consider the following:

1. GDx demonstrates defects both inferiorly and superiorly, although the inferior defect is more pronounced.


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Where would you place this patient on the glaucoma continuum now? Select the stage by clicking on the appropriate radio button.

 

What is your strategy for dealing with this patient?

 

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