140 likes | 145 Views
OHT Treatment criteria First Choice Treatment. Dr. Jordi Loscos Arenas Hospital Universitari Germans Trias i Pujol, Barcelona. OHT Treatment criteria. IOP Age Race Family History Optic Disc Central Corneal Thickness (CCT)
E N D
OHT Treatment criteriaFirst Choice Treatment Dr. Jordi Loscos Arenas Hospital Universitari Germans Trias i Pujol, Barcelona
OHT Treatment criteria IOP Age Race FamilyHistory Optic Disc Central Corneal Thickness (CCT) Others: PEX; Myopia; Low ocular pressure; RaynaudSd; Migraine; SleepApnoea Asses each patient individually when deciding whether or not to treat
OHT Treatment criteria • FamilyHistory • 56 yearsold • 630 / 622 • Sept 2008 • IOP 28 mmHg BE • Oct 2014 • IOP 24/26 mmHg
OHT Treatment criteria • No FamilyHistory • Myopic • OSAS • 65 yearsold • IOP 20 mmHg BE • 513 / 520
OHT Treatment criteria • FamilyHistory • 44 yearsold • Aprl 2013 • 18 mmHg BE • Jan 2014 • 18 mmHg BE • Oct 2014 • 18 mmHg • 504 /507 Oct 2014
OHT Treatment criteria • FamilyHistory • 63 yearsold • IOP 20 mmHg BE • 503 / 494
OHT Treatment criteria Foto Dra S. Ruiz
OHT Treatment criteria: Follow up is a "treatment" • No FamilyHistory • 70 yearsold • IOP 24 / 26 mmHg • 569 / 572 Taking into account the emotional dimensions
OHT Treatment criteria • Less influenced by the IOP • Importance of baselinevisit • IOP • CCT • OpticNervephotography • VF
First Choice Treatment Β- Blockers Prostaglandins
First Choice Treatment: Phacoemulsification • No FamilyHistory • 79 yearsold • IOP 30 / 28 mmHg • 569 / 572 • Cataract
First Choice Treatment: No Treatment • No FamilyHistory • 87 yearsold • Bradycardia • IOP 28 mmHg BE • 560 / 558