He Ming-guang, Ge Jian
Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
Zhonghua Yan Ke Za Zhi. 2005 Dec;41(12):1061-4.
A new definition and classification system was proposed recently for primary angle closure glaucoma. This system emphasizes on the characteristic progressive end-organ damage - "glaucomatous optic neuropathy", and attempts to adopt a uniform definition of glaucoma, synonymous with primary open angle glaucoma. This approach represents a departure from convention, in which individuals with a narrow drainage angle combine with either raise intraocular pressure or peripheral anterior synechiae but without glaucomatous optic neuropathy, are said to have primary angle closure rather than primary angle closure glaucoma. Although the use of this definition has been adopted by the American Academy of Ophthalmology and Southeast Asia Glaucoma Interest Group, it is still debatable on whether this should be adopted in China. We attempt to describe the background of the development of this new classification scheme, discuss its advantages and challenges.
最近提出了一种原发性闭角型青光眼的新定义和分类系统。该系统强调特征性的进行性终末器官损害——“青光眼性视神经病变”，并试图采用与原发性开角型青光眼同义的青光眼统一定义。这种方法与传统方法不同，在传统方法中，房角狭窄且伴有眼压升高或周边前粘连但无青光眼性视神经病变的个体被称为原发性房角关闭而非原发性闭角型青光眼。尽管美国眼科学会和东南亚青光眼兴趣小组已采用这一定义，但在中国是否应采用仍存在争议。我们试图描述这一新分类方案的发展背景，讨论其优点和挑战。
