CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes. a slov. Oftal., 62, 2006, No. 5, p. 339 - 347 |
The Color Doppler Ultrasonography in Glaucoma Diagnosis Čmelo J.1, Chynoranský M.2, Mičevová K.3, Valášková T.3 1 Očná – neurooftalmologická ambulancia, Bratislava 2 Klinika oftalmológie LF UK, Bratislava3 Očná ambulancia, Bratislava |
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Summary: The insufficiency of the autoregulation at the optic nerve’s head may cause the
glaucoma optic neuropathy (GON). If the long-term stressing exists and an
additional endurance arises, the autoregulation may fail and significant
changes of the resistance index (RI) at the central retinal artery (CRA) and at
the posterior ciliar artery (PCA) can be detected by color flow ultrasonography.
Resistivity index represents peripheral resistance. It is displayed in
numerical value 0–1. 0 indicates none peripheral resistance, 1 indicates
maximal peripheral resistance.The goal of this paper was to determine a risk
value of the RI at the CRA and PCA that could suggest possible damaging of the
optic nerve. Two groups of the patients were evaluated in the course of 4 years duration of
the study. In the I. Group were 72 patients (144 eyes) with GON and with
intraocular pressure (IOP) 14–24 mm Hg. The II. Group consisted of 25 healthy
men (48 eyes) without diagnosis of GON and with IOP values 14 – 20 mm Hg.
There were RI measurements at all patients at the CRA and CPA at the idle
mode and immediately after ordinary addition endurance (performing
squatting – Master test). The statistical analysis by T test was evaluated with
value: 0.05. Conclusion: According to our findings, the difference between RI:
0.12 ± 0.03 at the CRA at the idle mode and immediately after ordinary addition
endurance is significant for damaging of the autoregulation at the optic
nerve’s head. For assessment of the insufficiency of the autoregulation at the
optic nerve’s head RI from PCA is not significant.
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