Sharma Pooja, Sample Pamela A, Zangwill Linda M, Schuman Joel S
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Surv Ophthalmol. 2008 Nov;53 Suppl1(SUPPL1):S17-32. doi: 10.1016/j.survophthal.2008.08.003.
Early diagnosis of glaucoma is critical to prevent permanent structural damage and irreversible vision loss. Detection of glaucoma typically relies on examination of structural damage to the optic nerve combined with measurements of visual function. To aid the clinician in evaluation of visual function and structure, computer-based devices such as confocal scanning laser ophthalmoscopy, scanning laser polarimetry, and optical coherence tomography provide quantitative assessments of structural damage, and visual function testing includes standard automated perimetry as well as selective techniques, including short-wavelength automated perimetry and frequency-doubling technology perimetry are available. This article will review current literature on diagnostic modalities available for glaucoma with emphasis on the best evidence available in the literature to support their use in clinical practice.
青光眼的早期诊断对于预防永久性结构损伤和不可逆的视力丧失至关重要。青光眼的检测通常依赖于对视神经结构损伤的检查以及视觉功能的测量。为了帮助临床医生评估视觉功能和结构，基于计算机的设备，如共焦扫描激光眼底镜、扫描激光偏振仪和光学相干断层扫描，可提供结构损伤的定量评估，视觉功能测试包括标准自动视野计以及选择性技术，包括短波长自动视野计和倍频技术视野计。本文将回顾有关青光眼可用诊断方法的当前文献，重点是文献中支持其在临床实践中使用的最佳证据。
