Why Normal-Tension Glaucoma Patients Visits to Keio University Hospital Clinic.
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Accession number;04A0276152
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| Title;Why Normal-Tension Glaucoma Patients Visits to Keio University Hospital Clinic. |
| Author;
SATO YURI
(Sch. of Med., Keio Univ.)
TANINO TOMIHIKO
(Sch. of Med., Keio Univ.)
OTAKE YOICHIRO
(Sch. of Med., Keio Univ.)
KIMURA ITARU
(Sch. of Med., Keio Univ.)
MIYATA HIROSHI
(Sch. of Med., Keio Univ.)
MASHIMA YUKIHIKO
(Sch. of Med., Keio Univ.)
KOGUCHI YOSHIHISA
(Sch. of Med., Keio Univ.)
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Journal Title;Journal of the Eye
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Journal Code:Y0754A
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ISSN:0910-1810
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VOL.21;NO.3;PAGE.405-408(2004)
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| Figure&Table&Reference;TBL.4, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Purpose: To examine the reasons why normal-tension glaucoma patients visit Keio University Hospital clinic. Subjects and methods: Subjects comprised 77 patients (44 females, 33 males) aged 35 through 83 years (mean age: 57.1.+-.11.5 yrs) who were admitted to the hospital for close examination of glaucoma between January 1, 2000 and December 31, 2001, and were diagnosed with normal-tension glaucoma (NTG). Of these patients, 26 were first diagnosed with glaucoma in our hospital (group without previous clinical visits) ; the other 51 patients had already visited other hospitals (group with previous clinical visits). According to visual field defect severity at the time of consultation, the subjects were subdivided as follows: (1) 19 early-defect patients (24.7%) who were classified as within Kozaki's classification grade IIb on the basis of Goldmann perimetry, and (2) 58 severe-defect patients (75.3%) who were classified as equal to or above grade IIIa on the basis of perimetry. Subjects were asked the reason for their visit to our hospital or to previous hospitals ; these reasons were compared among the groups. Multiple reasons were included. Results: Among the 26 patients without previous clinical visits, 7 early-defect patients consulted an ophthalmologist, floaters being the most common reason ; the 19 severe-defect patients cited optic disc cupping, found on health screening or medical examination. Among the 51 cases with previous clinical visits, the early-defect patients visited us to obtain a second opinion on the diagnosis of NTG ; the severe-defect patients were introduced to us by a previous hospital, or to obtain a second opinion. The reasons for their visits to previous hospitals were insight into visual field defects in 13 cases, optic disc cupping found on health screenings in 13 cases, and other eye diseases. Conclusion: Among subjective symptoms, insights into visual field defects were minimal.... (author abst.) |
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