Christmann S, Leisser C, Schrage N
Augenklinik Klinikum Merheim, Kliniken der Stadt Köln gGmbH, Ostmerheimerstr. 200, 51109, Köln, Deutschland,
Ophthalmologe. 2014 Feb;111(2):135-43. doi: 10.1007/s00347-013-2842-x.
The aim of diurnal pressure profiles is clarification of therapy safety and the diagnosis of glaucoma. The evaluation of intraocular pressure curves is part of the running assessment. In order to support this evaluation software has been developed which, in addition to the digital presentation of intraocular pressure curves corrected for corneal thickness also allows immediate statistical assessment. After specifying a target pressure it also allows deduction of possible therapy recommendations based on the resulting intraocular pressure values, the cup/disc ratio and the number of antiglaucoma agents given. In this study two collectives were investigated: in the first collective, in addition to the previously determined diagnoses, the intraocular pressure, number and time of measurements, predetermined target pressure, cup/disc ratio and corneal thickness-dependent correction values were evaluated. After completing a scoring system with respect to agreement of the clinical therapy suggestions with those suggestions calculated by the software, the second collective was compared after termination of the diurnal pressure profile. Concordance was found in 73 out of 88 eyes. The digital collation system for profile measurement was found to be very well suited for graphical and clinical documentation of diurnal pressure profile curves. Therapy decisions can be deduced from the available data and supported by the software.
