2020, Number 4
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Rev Cub Oftal 2020; 33 (4)
Macular optical coherence tomography in glaucoma diagnosis and followup
Arzuaga HE, Piloto DI, Fumero GFY, Domínguez RM, Batista PM
Language: Spanish
References: 31
Page: 1-19
PDF size: 562.27 Kb.
ABSTRACT
Glaucoma is an optic neuropathy characterized by the loss of retinal ganglion cells and
their axons. It is the leading cause of irreversible blindness worldwide, hence the crucial
importance of its timely detection and continuous monitoring. Optical coherence
tomography measurement of circumpapillary retinal nerve fiber layer thickness is the
main structural evaluation strategy to diagnose glaucoma. However, in view that the
macula is the retinal area related to central vision and contains 50% of the retinal ganglion
cells, measuring macular thickness seems to be a good option for early detection of the
death of these cells. The present review discusses the antecedents, anatomical
justification, protocols and main artifacts of macular optical coherence tomography as
related to the care of glaucoma. An updated approach is also provided to the way these
explorations may be used in clinical practice.
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