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原发性开角型青光眼与低眼压性青光眼视野缺损的比较研究

[A comparative study of visual field defects between primary open-angle and low tension glaucoma].

作者信息

Yu M, Zhou W, Ye T

机构信息

Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1997 May;33(3):173-7.

Abstract

OBJECTIVE

To investigate the characteristics of early visual field defects in primary opene-angle glaucoma (POAG) and low tension glaucoma (LTG).

METHOD

The visual fields of 41 eyes with early POAG and 15 eyes with LTG were quantitatively measured with QZS-2 automated perimetry (full threshold program).

RESULTS

Most of the early glaucomatous visual field defects in POAG and LTG presented the decrease of localized light sensitivity, and a few indicated the decrease of diffuse type. The defect occurred entirely in the central field and in a small number of eyes it was complicated by the peripheral field defect, especially in the nasal field. The differences of the mean light sensitivity and short-term fluctuation in the central field were statistically significant between the early POAG or LTG and the normal control group (all P < 0.05). In the comparisons of the visual field defect and retinal nerve fiber layer defect between early POAG and LTG groups, the results indicated that the types of damage and distribution of the areas involved were not different.

CONCLUSION

The characteristics of early visual field defects in POAG and LTG are the same.

摘要

目的

探讨原发性开角型青光眼(POAG)和低眼压性青光眼(LTG)早期视野缺损的特征。

方法

采用QZS - 2自动视野计(全阈值程序)对41只早期POAG患眼和15只LTG患眼的视野进行定量测量。

结果

POAG和LTG早期青光眼性视野缺损大多表现为局限性光敏感度降低,少数为弥漫型降低。缺损完全发生在中心视野,少数患眼合并周边视野缺损,尤其是鼻侧视野。早期POAG或LTG与正常对照组相比,中心视野平均光敏感度和短期波动差异有统计学意义(均P < 0.05)。早期POAG组和LTG组视野缺损与视网膜神经纤维层缺损比较,结果显示损伤类型及受累区域分布无差异。

结论

POAG和LTG早期视野缺损特征相同。

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