Milea D
Département d'ophtalmologie, Copenhagen University Hospital, Glostrup DK-2600 Glostrup, Denmark.
J Fr Ophtalmol. 2007 May;30(5 Pt 2):3S31-4.
Pathological optic disc cupping is most often caused by open angle glaucoma. More rarely, other optic neuropathies may be associated with acquired pathological optic disc cupping, sometimes mimicking glaucoma. A careful interpretation of the history, optic disc characteristics and visual fields are the main tools in the decision process of glaucomatous versus non-glaucomatous optic disc cupping, avoiding inappropriate, expensive neuroimaging examinations.
病理性视盘凹陷最常见的原因是开角型青光眼。较少见的是,其他视神经病变可能与后天性病理性视盘凹陷有关,有时会与青光眼相似。对病史、视盘特征和视野进行仔细解读是区分青光眼性与非青光眼性视盘凹陷决策过程中的主要手段,可避免进行不适当、昂贵的神经影像学检查。