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Optic Nerve: Heidelberg Retinal Tomography

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Abstract

Before looking at an HRT printout, it is important to understand why the test was ordered. The HRT has two roles in practice, first to assist the clinician in diagnosing glaucoma and second to assist the clinician in identifying glaucomatous progression. The current HRT 3 software can generate eight different printouts (Table 3.1), two of which (“trend report” and “TCA overview”) summarize progression algorithms; these will be discussed in question 3.3. The remaining six printouts (“minimal report,” “Moorfields report,” “OU Quickview Report,” “OU Report,” “Stereometric Report,” and “Stereometric with Moorfields Report”) summarize data from a single scan (in the case of OU reports – from both eyes) and should be used to help the clinician decide whether or not features of the optic nerve head (ONH) are suggestive of glaucomatous optic neuropathy. Information from HRT printouts alone will not be sufficient to make a diagnosis of glaucoma; this requires interpretation of the results in the context of patient history, clinical examination, and perimetry findings.

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References

  1. Ferreras A, Pablo LE, Larrosa JM, et al Discriminating between normal and glaucoma-damaged eyes with the Heidelberg retina tomograph 3. Ophthalmology 2008;115:775–81.

    Article  PubMed  Google Scholar 

  2. Coops A, Henson DB, Kwartz AJ, Artes PH. Automated analysis of Heidelberg retina tomograph optic disc images by glaucoma probability score. Invest Ophthalmol Vis Sci 2006;47(12):5348–55.

    Article  PubMed  Google Scholar 

  3. Zangwill LM, Jain S, Racette L, et al The effect of disc size and severity of disease on the diagnostic accuracy of the Heidelberg Retina Tomograph Glaucoma Probability Score. Invest Ophthalmol Vis Sci 2007;48(6):2653–60.

    Article  PubMed  Google Scholar 

  4. Strouthidis NG, White ET, Owen VM, et al Factors affecting the test-retest variability of Heidelberg retina tomograph and Heidelberg retina tomograph II measurements. Br J Ophthalmol 2005;89(11):1427–32.

    Article  PubMed  CAS  Google Scholar 

  5. Strouthidis NG, White ET, Owen VM, et al Improving the repeatability of Heidelberg retina tomograph and Heidelberg retina tomograph II rim area measurements. Br J Ophthalmol 2005;89(11):1433–7.

    Article  PubMed  CAS  Google Scholar 

  6. Tan JC, Garway-Heath DF, Hitchings RA. Variability across the optic nerve head in scanning laser tomography. Br J Ophthalmol 2003;87(5):557–9.

    Article  PubMed  CAS  Google Scholar 

  7. Tan JC, White E, Poinoosawmy D, Hitchings RA. Validity of rim area measurements by different reference planes. J Glaucoma 2004;13(3):245–50.

    Article  PubMed  Google Scholar 

  8. British Standards Institution. Precision of test methods I: Guide for the determination and reproducibility for a standard test method, vol. BS 5497, part 1. London: BSI, 1979.

    Google Scholar 

  9. Fayers T, Strouthidis NG, Garway-Heath DF. Monitoring glaucomatous progression using a novel Heidelberg retina tomograph event analysis. Ophthalmology 2007;114(11):1973–80.

    Article  PubMed  Google Scholar 

  10. Chauhan BC, Blanchard JW, Hamilton DC, LeBlanc RP. Technique for detecting serial topographic changes in the optic disc and peripapillary retina using scanning laser tomography. Invest Ophthalmol Vis Sci 2000;41(3):775–82.

    PubMed  CAS  Google Scholar 

  11. Strouthidis NG, Scott A, Peter NM, Garway-Heath DF. Optic disc and visual field progression in ocular hypertensive subjects: detection rates, specificity, and agreement. Invest Ophthalmol Vis Sci 2006;47(7):2904–10.

    Article  PubMed  Google Scholar 

  12. Patterson AJ, Garway-Heath DF, Strouthidis NG, Crabb DP. A new statistical approach for quantifying change in series of retinal and optic nerve head topography images. Invest Ophthalmol Vis Sci 2005;46(5):1659–67.

    Article  PubMed  Google Scholar 

  13. Garway-Heath DF, Friedman DS. How should results from clinical tests be integrated into the diagnostic process? Ophthalmology 2006;113(9):1479–80.

    Article  PubMed  Google Scholar 

  14. Kourkoutas D, Buys YM, Flanagan JG, et al Comparison of glaucoma progression evaluated with Heidelberg retina tomograph II versus optic nerve head stereophotographs. Can J Ophthalmol 2007;42(1):82–8.

    PubMed  Google Scholar 

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Correspondence to Nicholas G Strouthidis .

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Strouthidis, N.G., Garway-Heath, D.F. (2010). Optic Nerve: Heidelberg Retinal Tomography. In: Giaconi, J., Law, S., Coleman, A., Caprioli, J. (eds) Pearls of Glaucoma Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68240-0_3

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  • DOI: https://doi.org/10.1007/978-3-540-68240-0_3

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