When to treat Ocular Hypertension
1. Faiqoh Mubarokatul MD¹
2. Edi Supiandi MD¹
3. Widya Artini MD¹
4. Syukri Mustafa MD¹
5. Virna Dwi Oktariana MD¹
¹Department of Ophthalmology, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Purpose: To report a case of Ocular Hypertension (OH) in a 48-year-old Indonesian woman.
Methods: Case report. A 48-year-old woman complained of tearing on both eyes since one year before admission. Her visual acuity was 6/7,5 on right eye and 6/9,5 on the left eye. Intra ocular pressure on the right eye was 23 mmHg and 24 mmHg on the left eye with Goldman applanation tonometri. The anterior chamber was deep with Von Herrick grade IV. Funduscopy examination on both eyes revealed round optic nerve head with distinct edge with cup disc ratio (CDR) 0,3-0,4, there were no cupping or nasalization, aa/vv was 2/3, macular reflex was good and retina was good. Octopus examination reveals no visual field defect on both eyes. We made the diagnosis of Ocular Hypertension.
Results: The diagnosis according a point system for estimating on (OH) patient's 5 year Risk of developing POAG. Point for Baseline Predictor are Age, IOP (intra ocular pressure), CCT (central corneal thickhness), vertical CDR by contour and PSD (pattern standard deviasion). By combining these factors, the clinician can identify patients at moderate to high risk for developing POAG and who are more likely to benefit from early medical treatment.
Conclusions: OH in this patient develops to POAG with risk factor of high IOP and thinner central corneal measurement. Medication for this patient is still not enough to reach the IOP target pressure value and progress to glaucoma.
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