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正常眼压性青光眼中的弥漫性神经纤维层缺失

Diffuse nerve fiber layer loss in normal tension glaucoma.

作者信息

Yamazaki Y, Koide C, Takahashi F, Yamada H

机构信息

Department of Ophthalmology, Nihon University, Tokyo, Japan.

出版信息

Int Ophthalmol. 1992 Sep;16(4-5):247-50. doi: 10.1007/BF00917970.

Abstract

14 eyes of 14 normal tension glaucoma (NTG) patients with the maximum intraocular pressure (IOP) > or = 19 mmHg and 16 eyes of 16 NTG patients with the maximum IOP < 19 mmHg were examined. All patients had a scotoma confined to the upper or lower hemifield. Eyes with the maximum IOP > or = 19 mmHg showed significantly diffuse retinal nerve fiber layer (RNFL) loss in the RNFL area corresponded to the spared visual hemifield as compared to those with the maximum IOP < 19 mmHg. The results suggests that, even in NTG, IOP may be an important factor causing optic nerve damage.

摘要

对14例最大眼压≥19mmHg的正常眼压性青光眼(NTG)患者的14只眼以及16例最大眼压<19mmHg的NTG患者的16只眼进行了检查。所有患者均有局限于上半视野或下半视野的暗点。与最大眼压<19mmHg的患者相比,最大眼压≥19mmHg的患者在与保留的视觉半视野相对应的视网膜神经纤维层(RNFL)区域显示出明显的弥漫性RNFL丢失。结果表明,即使在NTG中,眼压可能也是导致视神经损伤的一个重要因素。

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