San Laureano Joseph
Epworth Hospital, Richmond, Victoria, Australia.
Clin Exp Optom. 2007 Sep;90(5):376-85. doi: 10.1111/j.1444-0938.2007.00175.x.
The approach to the diagnosis and management of glaucoma has undergone considerable changes in recent years. Current concepts of glaucoma diagnosis focus on structural assessment and structure-function correlation, and relies less on the finding of visual field abnormalities. In turn, contemporary approaches to management have also changed and revolve around earlier initiation of pressure lowering medication based on pre-perimetric findings. This article presents an approach to the assessment of the patient with suspected glaucoma, highlighting those structural and ancillary diagnostic investigations that will aid in the correct diagnosis. It also discusses the differentiation of glaucoma from other, non-glaucomatous disease processes.
近年来，青光眼的诊断和管理方法发生了相当大的变化。当前青光眼诊断的概念侧重于结构评估和结构与功能的相关性，而较少依赖于视野异常的发现。相应地，当代的管理方法也发生了变化，围绕基于视野检查前的结果更早开始使用降眼压药物展开。本文介绍了一种对疑似青光眼患者进行评估的方法，重点强调有助于正确诊断的那些结构和辅助诊断检查。它还讨论了青光眼与其他非青光眼疾病过程的鉴别。
