ARCHETYPE Findings in glaucoma (openEHR-EHR-CLUSTER.findings_glaucoma.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.findings_glaucoma.v0
ConceptFindings in glaucoma
DescriptionClinical findings on eye related with the diagnose of glaucoma.
UseSupport the archetypes used in the study and diagnose of glaucoma to register clinical findings in a structured manner.
PurposeRegister clinical findings on eye related with the diagnose of glaucoma.
References- European Glaucoma Society (EUGS). Terminology and guidelines for glaucoma (4th edition). Savona: Publicomm, 2014.
- Hodapp E, Parrish RKI, Anderson DR. Clinical decisions in glaucoma. St Louis: The CV Mosby Co, 1993.
Copyright© openEHR Foundation
AuthorsAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-07-06
Other Details LanguageAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-07-06
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
  • Custodian Organisation: openEHR Foundation
  • References: - European Glaucoma Society (EUGS). Terminology and guidelines for glaucoma (4th edition). Savona: Publicomm, 2014. - Hodapp E, Parrish RKI, Anderson DR. Clinical decisions in glaucoma. St Louis: The CV Mosby Co, 1993.
  • Current Contact: Aitor Eguzkitza, Universidad Pública de Navarra - Complejo Hospitalario de Navarra
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 1FD4D772C01315F0DA726391F877A98B
  • Build Uid: c68f59f0-88e9-4f88-b2d2-933c9c81e734
  • Revision: 0.0.1-alpha
Keywordsfindings, glaucoma
Lifecyclein_development
UID19517a56-22bc-4420-bb5d-70f97fddd9ef
Language useden
Citeable Identifier1013.1.2162
Revision Number0.0.1-alpha
items
Anterior segmentAnterior segment: Document the insertion level of the iris root before and during compression dynamic gonioscopy.
Iris rootIris root: Insertion of iris root.
  • Anterior to Schwalbe [Anterior to Schwalbe's line.]
  • Behind Schwalbe [Behind Schwalbe's line.]
  • Scleral Spur [On the Scleral Spur.]
  • Behind Scleral Spur [Behind the Scleral Spur.]
  • Cillary Band [On the Cillary Band.]
Angle recessAngle recess: Angular width of angle recess.
Property: Angle, plane
Units: 10.0..40.0 °
Limit decimal places: 0
Peripheral irisPeripheral iris: Configuration of the peripheral iris.
  • Steep [Steep, anteriorly convex.]
  • Regular [Regular.]
  • Queer [Queer, anteriorly concave.]
Slit thicknessSlit thickness: Ratio of slit thickness of the cornea to the depth of the anterior chamber.
  • Angle closed [Ratio of slit thickness = 0.]
  • Angle closure likely (angle 10°) [Ratio of slit thickness < 1/4.]
  • Angle clossure possible (angle 20°) [Ratio of slit thickness 1/4.]
  • Angle closure unlikely [Ratio of slit thickness 1/2.]
  • Angle closure very unlikely [Ratio of slit thickness 1.]
Retinal nerve fiber layerRetinal nerve fiber layer: Findings on RNFL supporting the current study of glaucoma.
Parapapillary atrophyParapapillary atrophy: Narrative description of diffuse or localized abnormalities of the peripapillary retinal nerve fiber layer, especially at the inferior or superior poles.
RNFL thinningRNFL thinning: Identification of retinal nerve fiber layer thinning defects.
  • Diffuse thinning [Diffuse thinning of Retinal nerve fiber layer.]
  • Localized defects [Focal (wedge and slit) defects.]
Hemorrhages RNFLHemorrhages RNFL: Identification of hemorrhages on the peripapillary retinal nerve fiber layer.
Optic discOptic disc: Findings on optic disc supporting the current study of glaucoma.
Rim loss patternRim loss pattern: Description of the pattern of neuroretinal rim loss. It may take the form of diffuse thinning, focal narrowing, or localized notching of the optic disc rim, especially at the inferior or superior poles.
Asymmetric rimAsymmetric rim: Optic disc neural rim asymmetry of the two eyes consistent with loss of neural tissue.
CuppingCupping: Identification of progressive thinning of the neuroretinal rim with an associated increase in cupping of the optic disc.
VesselsVessels: Description of any positional changes of the vessels at the optic disc with bending, bayoneting or baring of circumlinear vessels.
Hemorrhages optic discHemorrhages optic disc: Identification of hemorrhages on or bordering the optic disc.
Assumed value: false
Optic nerve headOptic nerve head: Description of features in optic nerve head (ONH).
Visual fieldVisual field: Findings on visual field supporting the current study of glaucoma.
Visual field defectsVisual field defects: Staging of the visual field defectsaccording to the Hodapp-Parrish classification (see references).
  • Early glaucomatous loss [Mean defect < -6dB; Fewer than 18 points depressed below the 5% probability level; Fewer than 10 points below the p < 1% level; No point in the central 5 degrees with a sensitivity of less than 15 dB.]
  • Moderate glaucomatous loss [Mean defect < -12dB; Fewer than 37 points depressed below the 5% probability level; Fewer than 20 points below the p < 1% level; Only one hemifield with a sensitivity of less than 15 dB.]
  • Advanced glaucomatous loss [Mean defect > -12dB; More than 37 points depressed below the 5% probability level; More than 20 points below the p < 1% level; Absolute deficit (0dB) in the 5 central degrees; Sensitivity <15dB in the 5 central degrees in both hemifields.]
Asymmetric lossAsymmetric loss: Visual field loss in one hemifield that is different from the other hemifield, i.e., across the horizontal midline (in early/moderate cases).
Assumed value: false
CommentsComments: Narrative description of overall findings, inlcuding those not considered above.
Other contributorsJosé Andonegui, Hospital de Navarra, jose.andonegui.navarro@cfnavarra.es
Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es
Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es
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