{"id":4448,"date":"2016-11-25T17:25:07","date_gmt":"2016-11-25T17:25:07","guid":{"rendered":"https:\/\/sbglaucoma2.websiteseguro.com\/medico\/?p=4448"},"modified":"2016-12-08T08:49:40","modified_gmt":"2016-12-08T10:49:40","slug":"importance-of-normal-aging-in-estimating-the-rate","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/importance-of-normal-aging-in-estimating-the-rate\/","title":{"rendered":"Importance of Normal Aging in Estimating the Rate"},"content":{"rendered":"<h3>Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss <\/h3>\n<div class=\"row-fluid\">\n<div class=\"span6\"><span class=\"tituloDoutorEsq\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2016\/12\/mauro.png\" alt=\"\" width=\"100\" height=\"120\" class=\"alignleft size-full wp-image-2862\" \/><strong>Mauro Leite<\/strong> \t<\/p>\n<\/div>\n<div class=\"span6\"><span class=\"tituloDoutorEsq\"><img loading=\"lazy\" decoding=\"async\" class=\"borderLeft alignleft wp-image-839 size-full\"  src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2016\/12\/renato.png\"  width=\"100\" height=\"120\" class=\"alignright size-full wp-image-1065\" \/><strong>Renato Lisboa<\/strong><br \/>\n<\/span>\n<\/div>\n<\/div>\n<p>Ref.: <strong>Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss <\/strong>.<br \/>\nJayme R. Vianna, MD, Vishva M. Danthurebandara, PhD, Glen P. Sharpe, MSc, Donna M. Hutchison, BSc, Anne C. Belliveau, BSc, Lesya M. Shuba, MD, Marcelo T. Nicolela, MD, Balwantray C. Chauhan, PhD  <\/p>\n<p>&nbsp;<\/p>\n<p>Para avaliar se existe progress\u00e3o estrutural do dano glaucomatoso o oftalmologista utiliza com frequ\u00eancia instrumentos de imagem para quantificar a espessura da camada de fibras nervosa da retina peripapilar (CFNR) e a topografia da cabe\u00e7a do nervo \u00f3ptico (CNO). No entanto,  alguns fatores como o envelhecimento e a varia\u00e7\u00e3o da press\u00e3o intraocular (PIO) t\u00eam influ\u00eancia sobre as medidas da CFNR e da CNO, potencialmente dificultando a detec\u00e7\u00e3o de progress\u00e3o estrutural secund\u00e1ria ao glaucoma. <\/p>\n<p>Buscando entender melhor a import\u00e2ncia desses fatores na detec\u00e7\u00e3o da progress\u00e3o estrutural, Vianna e colaboradores seguiram 192 pacientes com glaucoma e 37 indiv\u00edduos saud\u00e1veis por cerca de 4 anos (intervalo de 2-6 anos) e compararam as taxas de progress\u00e3o entre os grupos. Os par\u00e2metros estudados obtidos com a tomografia de coer\u00eancia \u00f3ptica (OCT) Spectralis (Heidelberg Engineering) foram abertura da membrana de Bruch \u2013 di\u00e2metro m\u00ednimo da rima (BMO-MRW, do ingl\u00eas Bruch\u2019s membrane opening \u2013 minimum rim width), abertura da membrana de Bruch \u2013 \u00e1rea (BMOA, do ingl\u00eas Bruch\u2019s membrane opening \u2013 area) e espessura da CFNR. Para avaliar a topografia da CNO os autores utilizaram o HRT III (Heidelberg Retina Tomograph III; Heidelberg Engineering) e avaliaram a \u00e1rea da rima neurorretiniana limitada pela margem do disco (DMRA, do ingl\u00eas disc margin \u2013 based neuroretinal rim area). Os autores tamb\u00e9m calcularam a taxa de progress\u00e3o funcional pelo desvio m\u00e9dio (MD, do ingl\u00eas mean deviation) obtido com a campimetria computadorizada. <\/p>\n<p><span class=\"destaqueBgVerdeFloat\"><br \/>\nApesar das limita\u00e7\u00f5es, esse estudo bem conduzido destaca com clareza a import\u00e2ncia do envelhecimento normal sobre as taxas de progress\u00e3o estrutural medidas pelas tecnologias de imagem, tendo impacto imediato na pr\u00e1tica cl\u00ednica di\u00e1ria.<br \/>\n<\/span><\/p>\n<p>O estudo mostrou tr\u00eas resultados muito importantes e com aplica\u00e7\u00e3o cl\u00ednica imediata. O primeiro foi que o grupo de indiv\u00edduos normais apresentou taxas de progress\u00e3o significativas, ou seja, se um paciente apresentar progress\u00e3o nos par\u00e2metros estruturais isso n\u00e3o significa necessariamente progress\u00e3o glaucomatosa. Ou ainda, se o paciente com glaucoma estiver progredindo, parte dessa progress\u00e3o pode ter ocorrido pelo envelhecimento normal. O segundo achado foi que a idade e os par\u00e2metros estruturais \u00e0 data do exame de refer\u00eancia (baseline) influenciam significantemente essa taxa de progress\u00e3o. O autor ainda disponibiliza um link (<a href=\"http:\/\/goo.gl\/eteyfA\" target=\"_blank\">http:\/\/goo.gl\/eteyfA) <\/a>no qual pode-se inserir os dados e estimar a taxa de progress\u00e3o em pacientes com glaucoma ou em indiv\u00edduos saud\u00e1veis. Esse achado nos faz prestar maior aten\u00e7\u00e3o nas caracter\u00edsticas singulares de cada paciente para avaliar a progress\u00e3o do glaucoma. O terceiro achado foi que a redu\u00e7\u00e3o da PIO afeta os par\u00e2metros topogr\u00e1ficos da CNO. Dessa maneira, se o paciente apresentar redu\u00e7\u00e3o significativa da PIO (ap\u00f3s cirurgia por exemplo), talvez seja melhor seguir com os par\u00e2metros da espessura CFNR e considerar um novo valor de refer\u00eancia (baseline) para os par\u00e2metros topogr\u00e1ficos da CNO. <\/p>\n<p>O estudo apresenta algumas limita\u00e7\u00f5es que devem ser consideradas. O tempo de seguimento \u00e9 relativamente curto (2-6 anos). Portanto, \u00e9 poss\u00edvel que a taxa de progress\u00e3o nos pacientes com glaucoma seja significantemente mais r\u00e1pida com um seguimento maior. O n\u00famero de indiv\u00edduos saud\u00e1veis no grupo controle foi pequeno, alargando o intervalo de confian\u00e7a das taxas de progress\u00e3o, potencialmente levando a um erro estat\u00edstico tipo 2.<\/p>\n<p>Apesar das limita\u00e7\u00f5es, esse estudo bem conduzido destaca com clareza a import\u00e2ncia do envelhecimento normal sobre as taxas de progress\u00e3o estrutural medidas pelas tecnologias de imagem, tendo impacto imediato na pr\u00e1tica cl\u00ednica di\u00e1ria.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss Mauro Leite Renato Lisboa Ref.: Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss . Jayme R. Vianna, MD, Vishva M. Danthurebandara, PhD, Glen P. Sharpe, MSc, Donna [&hellip;]<\/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-4448","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Importance of Normal Aging in Estimating the Rate - 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\/importance-of-normal-aging-in-estimating-the-rate\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Importance of Normal Aging in Estimating the Rate - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss Mauro Leite Renato Lisboa Ref.: Importance of Normal Aging in Estimating the Rate of Glaucomatous Neuroretinal Rim and Retinal Nerve Fiber Layer Loss . 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