Sato Y, Tomita G, Onda E, Goto Y, Oguri A, Kitazawa Y
Department of Ophthalmology, Gifu University School of Medicine, Gifu-ken, Japan.
Jpn J Ophthalmol. 2000 Jan-Feb;44(1):39-45. doi: 10.1016/s0021-5155(99)00148-3.
To evaluate the association between the watershed zone and glaucomatous optic nerve head (ONH) damage.
We performed indocyanine green fluorescence angiography with a scanning laser ophthalmoscope in 54 eyes of 27 patients with normal tension glaucoma (NTG).
We identified 7 eyes of 8 patients (14.8%) with a watershed zone not including the ONH, 32 eyes of 20 patients (59.3%) with the watershed zone partially including the ONH, and 10 eyes of 14 NTG patients (25.9%) with the watershed zone including the ONH. Of the 27 NTG patients, 10 patients (37.0%) had different types in each eye.
In these patients, the mean deviation of visual field indices was greater in the eye with the watershed zone, which included a larger part of the ONH than in the contralateral eye. Conversely, the eye with the greater mean deviation had a watershed zone that included a larger part of the ONH. The location of the watershed zone appeared to influence the progression of the visual field defect.
评估分水岭区与青光眼性视神经乳头（ONH）损害之间的关联。
我们使用扫描激光检眼镜对27例正常眼压性青光眼（NTG）患者的54只眼睛进行了吲哚菁绿荧光血管造影。
我们发现8例患者的7只眼睛（14.8%）的分水岭区不包括ONH，20例患者的32只眼睛（59.3%）的分水岭区部分包括ONH，14例NTG患者的10只眼睛（25.9%）的分水岭区包括ONH。在27例NTG患者中，10例患者（37.0%）每只眼睛的类型不同。
在这些患者中，分水岭区包括更大比例ONH的眼睛的视野指数平均偏差大于对侧眼睛。相反，平均偏差较大的眼睛的分水岭区包括更大比例的ONH。分水岭区的位置似乎影响视野缺损的进展。
