Damji Karim F, Behki Rama, Wang Lan
University of Ottawa Eye Institute, Ottawa Hospital, Ottawa, Ont.
Can J Ophthalmol. 2003 Apr;38(3):189-97. doi: 10.1016/s0008-4182(03)80060-1.
There is an abundance of evidence from recent randomized clinical trials showing that lowering the IOP is beneficial to the optic nerve and visual field. Setting and achieving a target IOP range is in keeping with evidence-based medicine. The benefits of reaching this target must be weighed against the risks of the treatment itself. Target IOP is a dynamic concept, needing constant reevaluation. What is lacking are established guidelines for determining the target IOP range that can be used in general ophthalmology practice.
近期随机临床试验有大量证据表明,降低眼压对视神经和视野有益。设定并实现目标眼压范围符合循证医学。达到该目标的益处必须与治疗本身的风险相权衡。目标眼压是一个动态概念,需要不断重新评估。目前缺乏可用于普通眼科实践的确定目标眼压范围的既定指南。