{"id":310,"date":"2015-01-23T12:32:10","date_gmt":"2015-01-23T14:32:10","guid":{"rendered":"http:\/\/www.planetaw.com.br\/temp\/sbg\/?p=310"},"modified":"2019-06-24T15:51:24","modified_gmt":"2019-06-24T18:51:24","slug":"progressao-funcional-nos-diferentes-subtipos-de-glaucoma","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/progressao-funcional-nos-diferentes-subtipos-de-glaucoma\/","title":{"rendered":"PROGRESS\u00c3O FUNCIONAL NOS DIFERENTES SUBTIPOS DE GLAUCOMA"},"content":{"rendered":"
\n
\"\"Editor Associado e Comentarios por Ricardo Paletta Guedes sobre:<\/strong>
\nRef.: Visual field progression outcomes in glaucoma subtypes.<\/strong>
\nDe Moraes CG, Liebmann JM, Liebmann CA, Susanna R Jr, Tello C, Ritch R.
\nActa Ophthalmol 2013; 91(3): 288-93.<\/strong>
\n<\/span><\/div>\n<\/div>\n

Existem diferentes subtipos de glaucoma. Pouco se sabe sobre as diferen\u00e7as de progn\u00f3stico ou velocidade de progress\u00e3o entre os diferentes subtipos de glaucoma.<\/p>\n

Os autores deste estudo compararam a presen\u00e7a de progress\u00e3o na perimetria computadorizada em 6 subtipos de glaucoma (Glaucoma Prim\u00e1rio de \u00c2ngulo Estreito; Glaucoma Prim\u00e1rio de \u00c2ngulo Aberto; Glaucoma de Press\u00e3o Normal; Glaucoma Pseudoexfoliativo; Glaucoma Pigmentar; Glaucoma Juvenil).<\/p>\n

“Eles conclu\u00edram que, apesar das diferen\u00e7as em aspectos cl\u00ednicos, epidemiol\u00f3gicos e gen\u00e9ticos, o subtipo do glaucoma n\u00e3o \u00e9 um fator independente para progress\u00e3o do campo visual.”<\/span> Eles conclu\u00edram que, apesar das diferen\u00e7as em aspectos cl\u00ednicos, epidemiol\u00f3gicos e gen\u00e9ticos, o subtipo do glaucoma n\u00e3o \u00e9 um fator independente para progress\u00e3o do campo visual. Ou seja, apesar do Glaucoma Pseudoexfoliativo ter a maior frequ\u00eancia de progress\u00e3o e uma velocidade de piora mais r\u00e1pida, esse subtipo de glaucoma tamb\u00e9m apresentou os maiores n\u00edveis de PIO. Entretanto, na analise multivariavel que considerou todos essas vari\u00e1veis num mesmo modelo, n\u00e3o houve diferen\u00e7as na progress\u00e3o entre os subtipos de glaucoma avaliados.<\/span><\/p>\n

Os mesmos fatores de risco para progress\u00e3o do glaucoma prim\u00e1rio de \u00e2ngulo aberto, o subtipo mais estudado, s\u00e3o v\u00e1lidos para os outros subtipos de glaucoma.<\/p>\n

Veja coment\u00e1rios do International Glaucoma Review sobre este artigo:
\nhttp:\/\/www.e-igr.com\/ES\/index.php?issue=152&ComID=1261<\/a><\/p>\n

\n
\n

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

Acta Ophthalmol<\/em>. 2013 May;91(3):288-93. doi: 10.1111\/j.1755-3768.2011.02260.x. Epub 2011 Oct 5.
\nVisual field progression outcomes in glaucoma subtypes<\/strong>.
\nDe Moraes CG, Liebmann JM, Liebmann CA, Susanna R Jr, Tello C, Ritch R.
\nAuthor information<\/strong><\/p>\n

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

PURPOSE:<\/strong>
\nTo determine whether glaucoma subtype is an independent risk factor for visual field (VF) progression.<\/p>\n

METHODS:<\/strong>
\nWe reviewed the charts of glaucoma suspects and glaucoma patients seen in a referral practice between 1999 and 2009. Automated pointwise linear regression analysis determined the rates of VF change. A progression endpoint was determined when two or more adjacent test locations in the same hemifield showed a threshold sensitivity decline at a rate of \u22651.0 dB\/year with p < 0.01.<\/p>\n

RESULTS:<\/strong>
\nWe included 841 eyes (841 patients; mean age, 64.1 \u00b1 12.6 years; mean number of VF tests, 10.8 \u00b1 2.8; mean follow-up, 6.4 \u00b1 1.7 years). The glaucomatous group consisted of angle-closure glaucoma (76 eyes), juvenile primary open-angle glaucoma (37 eyes), normal-tension glaucoma (81 eyes), pigmentary glaucoma (34 eyes), primary open-angle glaucoma (275 eyes) and exfoliative glaucoma (XFG, 84 eyes). Normal-tension glaucoma eyes were more likely to present with beta-zone parapapillary atrophy and disc haemorrhage (p < 0.01). Exfoliative glaucoma eyes had the fastest rates of global VF change (-0.65 dB\/year), as well as the highest mean, fluctuation, and peak intraocular pressure during follow-up (16.5, 3.0 and 22.0 mmHg, respectively) and reached a progression endpoint more frequently (40%). After adjusting for all covariates, including the glaucoma phenotype, there was no difference among groups regarding global rates of VF change and the risk of reaching a progression endpoint.<\/p>\n

CONCLUSIONS:<\/strong>
\nDespite different clinical features, epidemiology and genetics, glaucoma phenotype is not an independent risk factor for VF progression. Rather, variations in well-known, reported risk factors remain important disease parameters that affect progression.<\/p>\n

\u00a9 2011 The Authors. Acta Ophthalmologica \u00a9 2011 Acta Ophthalmologica Scandinavica Foundation.
\nPMID: 21974913 [PubMed – indexed for MEDLINE]<\/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.: Visual field progression outcomes in glaucoma subtypes. De Moraes CG, Liebmann JM, Liebmann CA, Susanna R Jr, Tello C, Ritch R. Acta Ophthalmol 2013; 91(3): 288-93. Existem diferentes subtipos de glaucoma. Pouco se sabe sobre as diferen\u00e7as de progn\u00f3stico ou velocidade de progress\u00e3o entre os […]<\/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-310","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"\nPROGRESS\u00c3O FUNCIONAL NOS DIFERENTES SUBTIPOS DE GLAUCOMA - 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\/progressao-funcional-nos-diferentes-subtipos-de-glaucoma\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PROGRESS\u00c3O FUNCIONAL NOS DIFERENTES SUBTIPOS DE GLAUCOMA - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Editor Associado e Comentarios por Ricardo Paletta Guedes sobre: Ref.: Visual field progression outcomes in glaucoma subtypes. 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