Clinicians can predict which patients with ocular hypertension are most likely to develop primary open-angle glaucoma (POAG) using short-wave automated perimetry, scanning laser polimetry, and confocal laser ophthalmoscopy, as well as the patient’s age, researchers said.
Lesions appear in both outer and inner retinal layers in the early onset of glaucoma, with the most pathological change in neurophysiological processes affecting the photoreceptors cells of the outer layer. Such findings could aid in early diagnosis of the disease.
Although the diagnosis of primary congenital or early developmental glaucoma is often straightforward, similar phenotypic features can occur in other paediatric conditions, which are consequently sometimes mistaken for early childhood glaucoma. Ophthalmologists who care for children with glaucoma must keep such potential mimics in mind.
Scheimpflug photography using a novel device (Sirius, Costruzione Strumenti Oftalmici) provides consistent measurements of the iridocorneal angle at different meridians in healthy eyes and could be used to detect occludable angles.