estima Opodo * “LR. Sampuoten fed lever Searing 6: 2001 Kivey Neadenie Publishers. Printed n lve Netherton. Optic nerve head damage progression in patients with glaucoma Roberto Sampaolesi & Juan Roberto Sampaolesi Fundacion Argentina Oftalmot6gica Juan Sampaotesi and Department of Ophthalmology. School of Me University of Buenos Aires, Argentina icine, Abstract Purpose: To steady the optic nerve head dau open angle glaucoma were studied in order to classify then inte different stages in so fields. 172 normal eyes were studied and compared as a control group, Examinations were performed with the Heidelberg Retina Tomograph (longwave: 680 nm), using the new standard ret hs at ‘D lower than N = 20. 1OL. programs G2 and "é2x, wilh 3 phases completed. Diurnal gonioscopy (For classification) were also performed, Results: ‘Glnucornsous optic neoropeshy wee 6 stages: NORMAL. BORDERLINE, PHASE }, PHASE 2, PHASE 3 and PHASE 4. The group with normal optic nerve head was the only one included in the HYPERTENSIVE PERIOD of the disease. Border! uted in the PREPERIMETRIC PERIOD, and Phase 3.and Phase 4 were included in the showing gkucomatous damage, specially in the preperimettic period, when vist helps to differentiate hypertensive eyes rom early preperimetrics eyes, Discussion: Confo. optic nerve head seems to detect glaucomatous optic nerve head damage much earlier than visual field does. 71NORMAL O.N.H HYPERTENSIVE PERIOD BORDER LINI swarourrmes BORDER L ot VouLE ron PHASE | STWAPOMETR PHASE ‘CUP AREA ERNE THDCENESS oanPHASE 2 PERIMETRIC PERIOD STARTS STEREOMETRICS MRD THAR PHASE3 M2. ‘im Fela ce ® @ 1.200 Totume Oates 1.000 LOP OPTIC NERVE HEAD 0.800 a N PL PL PUL 40 . ‘i (0.600 . VISUAL FIELD 20 | 2 2-400 10 N BL | st |sit | sit 0.200 3 HYPERTENSIVE | PRE-PERIMETRIC PERIMETRIC Pa onn Prose Suppo fan