Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"

   Hotel Registration
   Welcome address
Beteiligte Gesellschaften
   Societies involved
DOG Information
   DOG Information
Eröffnung des Kongresses
   Opening Ceremony
Ablauf der Tagung 2003
   General overview of congress
Lageplan der Räumlichkeiten
   Map of Congress Center
Wissenschaftliche Themen
   Scientific topics
Wissenschaftliches Programm
   Scientific program
   Poster Presentation
Begleitende Veranstaltungen
   Accompanying program
   Working sessions
   Social program
Allgemeine Informationen
   General Information
   Index of Authors
   Commercial exhibitors

DOG Homepage


Parapapillary Atrophy in Stable and Progressive Open-angle Glaucoma

Budde W. M.1,2, Jonas J. B.1
1Dept. of Ophthalmology, Faculty for Clinical Medicine Mannheim of the Ruprecht-Karls University Heidelberg, Mannheim; 2Dept. of Ophthalmology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen

Purpose: Occurrence and size of parapapillary atrophy PPA (zone beta) has been associated with glaucomatous optic atrophy. Aim of the study was to assess the incidence of enlargement of PPA in stable and progressive open-angle glaucoma.
Method: In a prospective glaucoma follow-up study 927 eyes (105 normal eyes, 302 eyes with ocular hypertension (OHT), 342 eyes with open-angle glaucoma (OAG) and 178 eyes with normal-tension glaucoma (NTG)) were included. Optic disc photographs taken annually were evaluated. Follow-up was 1.5 - 10 years. Two independent examiners judged optic disc slides of follow-up examinations for enlargement of PPA and for morphologic signs of glaucoma progression in comparison with baseline examination.
Results: In 16 eyes an enlargement of PPA could be observed after 4.1 ± 2.4 (0.5 - 9.1) years of follow-up. This occurred in no normal eye, in 1/302 (0.3%) OHT eye, in 12/342 (3.5%) OAG eyes, and in 3/178 (1.7%) NTG eyes. Enlargement of PPA developed in 5/106 (4.7%) progressive glaucoma eyes and in 10/414 (2.4%) stable glaucoma eyes.
Conclusions: PPA (zone beta) may enlarge during the course of open-angle glaucoma. This happens more frequent in progressive than in stable glaucoma. Even in progres

Zurück | Back