{"id":306,"date":"2015-01-23T12:27:43","date_gmt":"2015-01-23T14:27:43","guid":{"rendered":"http:\/\/www.planetaw.com.br\/temp\/sbg\/?p=306"},"modified":"2019-06-24T15:47:55","modified_gmt":"2019-06-24T18:47:55","slug":"deteccao-do-glaucoma-pre-perimetrico-com-diferentes-protocolos-do-fd-oct","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/deteccao-do-glaucoma-pre-perimetrico-com-diferentes-protocolos-do-fd-oct\/","title":{"rendered":"DETEC\u00c7\u00c3O DO GLAUCOMA PRE-PERIM\u00c9TRICO COM DIFERENTES PROTOCOLOS DO FD-OCT"},"content":{"rendered":"
\n
\"\"Editor Associado e Comentarios por Ricardo Paletta Guedes sobre:<\/strong>
\nRef.: Comparison of different spectral domain OCT scanning protocols for diagnosing preperimetric glaucoma.<\/strong>
\nLisboa R, Paranhos A Jr, Weinreb RN, Zangwill LM, Leite MT, Medeiros FA.
\nInvest Ophthalmol Vis Sci 2013; 54(5):3417-25.<\/strong>
\n<\/span><\/span><\/div>\n<\/div>\n

O diagn\u00f3stico do glaucoma atrav\u00e9s do dano funcional na perimetria acrom\u00e1tica (branco-no-branco) \u00e9 tardio, pois quando os primeiros escotomas aparecem nos exames de perimetria computadorizada, grande parte das fibras nervosas j\u00e1 foram perdidas. Alguns consideram que o glaucoma j\u00e1 \u00e9 uma doen\u00e7a avan\u00e7ada quando as primeiras les\u00f5es aparecem no exame de campo visual.<\/p>\n

O ideal do diagn\u00f3stico precoce do glaucoma \u00e9 identificar a doen\u00e7a antes que haja les\u00e3o no campo de vis\u00e3o. O diagn\u00f3stico nesta fase deve ser feito atrav\u00e9s de avalia\u00e7\u00e3o estrutural do nervo \u00f3ptico (ONH), da camada de fibras nervosas (RNFL) da retina peripapilar ou do complexo de c\u00e9lulas ganglionares maculares (GCC).<\/p>\n

Neste estudo, os autores avaliaram diferentes protocolos presentes no OCT spectral domain para a detec\u00e7\u00e3o de glaucoma pr\u00e9-perim\u00e9trico (sem dano funcional),<\/span> identificados criteriosamente atrav\u00e9s do robusto banco de dados de da Universidade California em San Diego.<\/p>\n

“O melhor par\u00e2metro para a detec\u00e7\u00e3o de dano estrutural pr\u00e9-perim\u00e9trico foi a espessura m\u00e9dia da camada de fibras nervosas”<\/span>O melhor par\u00e2metro para a detec\u00e7\u00e3o de dano estrutural pr\u00e9-perim\u00e9trico foi a espessura m\u00e9dia da camada de fibras nervosas, seguida da espessura m\u00e9dia do hemisf\u00e9rio inferior e da espessura m\u00e9dia do quadrante inferior. Os par\u00e2metros de an\u00e1lise do disco \u00f3ptico e do GCC foram estatisticamente inferiores que a avalia\u00e7\u00e3o pela camada de fibras nervosas.<\/p>\n

O OCT spectral domain representa um avan\u00e7o da tecnologia, com aumento da velocidade de capta\u00e7\u00e3o e melhoria da resolu\u00e7\u00e3o da imagem. Esses aparelhos demonstraram uma boa capacidade de diagn\u00f3stico do glaucoma nos est\u00e1gios mais precoces, onde ainda n\u00e3o h\u00e1 dano funcional na perimetria acrom\u00e1tica.<\/p>\n

Veja coment\u00e1rios do International Glaucoma Review sobre este artigo:
\nhttp:\/\/www.e-igr.com\/ABS\/index.php?AbID=53479&page=Abstracts&issue=152<\/a>
\nhttp:\/\/www.e-igr.com\/ES\/index.php?issue=152&ComID=1252<\/a><\/p>\n

\n
\n

Resumo deste artigo<\/h3>\n
\n
\n
\n

Invest Ophthalmol<\/em> Vis Sci. 2013 May 13;54(5):3417-25. doi: 10.1167\/iovs.13-11676.
\nComparison of different spectral domain OCT scanning protocols for diagnosing preperimetric glaucoma.<\/strong>
\nLisboa R, Paranhos A Jr, Weinreb RN, Zangwill LM, Leite MT, Medeiros FA.
\nAuthor information<\/strong><\/p>\n

Abstract<\/strong><\/p>\n

PURPOSE:<\/strong>
\nTo compare the ability of spectral-domain optical coherence tomography (SDOCT) retinal nerve fiber layer (RNFL), optic nerve head (ONH), and macular measurements to detect preperimetric glaucomatous damage.
\nMETHODS:<\/strong>
\nThe study included 142 eyes from 91 patients suspected of having the disease based on the appearance of the optic disc. All eyes had normal visual fields before the imaging session. Forty-eight eyes with progressive glaucomatous damage were included in the preperimetric glaucoma group. Ninety-four eyes without any evidence of progressive glaucomatous damage and followed untreated for 12.8 \u00b1 3.6 years were used as controls. Areas under the receiver operating characteristic curves (AUC) were calculated to summarize diagnostic accuracies of the parameters.<\/p>\n

RESULTS:<\/strong>
\nThe three RNFL parameters with the largest AUCs were average RNFL thickness (0.89 \u00b1 0.03), inferior hemisphere average thickness (0.87 \u00b1 0.03), and inferior quadrant average thickness (0.85 \u00b1 0.03). The three ONH parameters with the largest AUCs were vertical cup-to-disc ratio (0.74 \u00b1 0.04), rim area (0.72 \u00b1 0.05), and rim volume (0.72 \u00b1 0.05). The three macular parameters with the largest AUCs were GCC average thickness (0.79 \u00b1 0.04), GCC inferior thickness (0.79 \u00b1 0.05), and GCC superior thickness (0.76 \u00b1 0.05). Average RNFL thickness performed better than vertical cup-to-disc ratio (0.89 vs. 0.74; P = 0.007) and GCC average thickness (0.89 vs. 0.79; P = 0.015).<\/p>\n

CONCLUSIONS:<\/strong>
\nSDOCT RNFL measurements performed better than ONH and macular measurements for detecting preperimetric glaucomatous damage in a cohort of glaucoma suspects. (ClinicalTrials.gov number, NCT00221897.).<\/p>\n

KEYWORDS:<\/strong>
\ndiagnosis, glaucoma, preperimetric
\nPMID: 23532529 [PubMed – indexed for MEDLINE] PMCID: PMC3653374<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Editor Associado e Comentarios por Ricardo Paletta Guedes sobre: Ref.: Comparison of different spectral domain OCT scanning protocols for diagnosing preperimetric glaucoma. Lisboa R, Paranhos A Jr, Weinreb RN, Zangwill LM, Leite MT, Medeiros FA. Invest Ophthalmol Vis Sci 2013; 54(5):3417-25. O diagn\u00f3stico do glaucoma atrav\u00e9s do dano funcional na perimetria acrom\u00e1tica (branco-no-branco) \u00e9 tardio, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-306","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"\nDETEC\u00c7\u00c3O DO GLAUCOMA PRE-PERIM\u00c9TRICO COM DIFERENTES PROTOCOLOS DO FD-OCT - SBG - Sociedade Brasileira de Glaucoma<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sbglaucoma.org.br\/medico\/deteccao-do-glaucoma-pre-perimetrico-com-diferentes-protocolos-do-fd-oct\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DETEC\u00c7\u00c3O DO GLAUCOMA PRE-PERIM\u00c9TRICO COM DIFERENTES PROTOCOLOS DO FD-OCT - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Editor Associado e Comentarios por Ricardo Paletta Guedes sobre: Ref.: Comparison of different spectral domain OCT scanning protocols for diagnosing preperimetric glaucoma. 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