Fu Pei, Liu Lina, Li Meiyu, Yuan You, Cui Yongri
Department of Ophthalmology, The First Hospital of Beijing University, Beijing 100034, China.
Zhonghua Yan Ke Za Zhi. 2002 Aug;38(8):480-3.
To approach the bases of early diagnosis of high myopia (HM) combined with primary open-angle glaucoma (POAG).
(1) There were 3 groups of POAG: group A with HM (40 eyes of 21 cases), group B with medium myopia (40 eyes of 21 cases) and group C with low myopia (42 eyes of 21 cases). Their visual field defect, retinal nerve fiber layer defect (RNFLD), the maximum intraocular pressure and corrected visual acuity were compared. (2) The stereo-photos of the HM-POAG were observed directly, and their clinical characteristics were analyzed.
(1) On the initial visit, the patients of group A obviously suffered more serious visual field defects and RNFLD, and the corrected visual acuity was lower than that of the two other groups. (2) The specific fundus changes at the papilla and its surrounding retina of the HM patients interfered with the early detection of glaucoma. The dilatation of pupil to examine the fundus and the use of stereo-photos were the main measures to elevate the detectable rate of glaucoma.
Recognizing the early clinical characteristics of HM itself combined with that of POAG may help us to improve the proficiency of HM-POAG early detection.
探讨高度近视（HM）合并原发性开角型青光眼（POAG）的早期诊断依据。
（1）将POAG患者分为3组：A组为高度近视患者（21例40眼），B组为中度近视患者（21例40眼），C组为低度近视患者（21例42眼）。比较3组患者的视野缺损、视网膜神经纤维层缺损（RNFLD）、最高眼压及矫正视力。（2）直接观察高度近视合并原发性开角型青光眼患者的立体眼底照片，并分析其临床特征。
（1）初诊时，A组患者的视野缺损和RNFLD明显更严重，矫正视力低于其他两组。（2）高度近视患者视乳头及其周围视网膜的特异性眼底改变干扰了青光眼的早期检测。散瞳检查眼底及使用立体眼底照片是提高青光眼检出率的主要措施。
认识高度近视本身及合并原发性开角型青光眼的早期临床特征，有助于提高高度近视合并原发性开角型青光眼的早期检测水平。
