Risikofaktoren und klinisches Management des Offenwinkelglaukoms: zwei Fallstudien

Purpose. The aim of this paper is to discuss and highlight the interpretation of two risk factors; corneal hysteresis and pigment dispersion syndrome, as they relate to the development and management of open-angle glaucoma using two clinical cases diagnosed and treated at a glaucoma clinic in Philadelphia, Pennsylvania, USA. Material and Methods. A case suspicious for glaucoma is presented with additional risk factors and ancillary testing evaluated, ultimately leading to its diagnosis. A secondary case is presented of a secondary open-angle glaucoma, demonstrating its key anatomical characteristics and treatment approach. Results. In the first case, corneal hysteresis and its interpretation was found to be an additional risk factor aiding in the diagnosis of glaucoma along additional well-accepted risk factors. In the second case, a currently treated case of pigmentary glaucoma is reviewed and differentiated from different forms of glaucoma and supplemental treatment is initiated due to progression via structural and functional testing. Conclusion. Earlier diagnosis of glaucoma was achieved due to identification of the additional risk factor of low corneal hysteresis, and identification of progression in an already treated case of secondary glaucoma results in adjunct treatment.