Komulainen R, Tuulonen A, Airaksinen P J
Department of Ophthalmology, University of Oulu, Finland.
Int Ophthalmol. 1992 Nov;16(6):465-9. doi: 10.1007/BF00918438.
In order to evaluate the value of photographic screening in predicting progressive glaucomatous damage, we re-examined 26 subjects 5 years after the initial screening. Of the 26 patients 16 had typical glaucomatous optic disc and visual field abnormalities (n = 7), retinal nerve layer damage (n = 6), or other risk factors of glaucoma (n = 3). In 10 of 26 patients suspected of having glaucoma, no abnormalities were initially confirmed. Of the 16 eyes with initially abnormal findings, 10 (63%) showed progressive changes during the 5-year follow-up period. The 10 initially suspected cases have remained healthy throughout the follow-up, giving a false positive rate of 5.5%. The results of this study indicate that it is possible to identify correctly patients with progressive glaucomatous changes with a non-mydriatic fundus camera.
为了评估照相筛查在预测青光眼性损害进展方面的价值，我们在初次筛查5年后对26名受试者进行了重新检查。在这26例患者中，16例有典型的青光眼性视盘和视野异常（n = 7）、视网膜神经层损害（n = 6）或其他青光眼危险因素（n = 3）。在26例疑似青光眼的患者中，10例最初未证实有异常。在最初有异常发现的16只眼中，10只（63%）在5年随访期间出现了进展性变化。10例最初疑似病例在整个随访期间均保持健康，假阳性率为5.5%。本研究结果表明，使用免散瞳眼底相机能够正确识别患有进展性青光眼性改变的患者。
