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[青光眼的过度诊断——一个实际问题?]

[Overdiagnosis in glaucoma--a real problem?].

作者信息

Zemba M, Cucu B, Stinghe Alina, Furedi G, Zugravu Viorica, Lacusteanu Monica

机构信息

Spitalul Clinic de Urgenta Militar Central.

出版信息

Oftalmologia. 2008;52(3):81-6.

Abstract

PURPOSE

To reassess the diagnosis in a group of patients with diagnosis and treatment for open-angle glaucoma.

METHOD

Group of 100 patients with diagnosis and treatment for open-angle glaucoma, sent in our clinic for automated perimetry. We assess: intraocular pressure, automated perimetry, the head of optic disc; sometimes we stopped the treatment and reassess the intraocular pressure; sometimes pahimetry. We confirm or not the diagnosis of open-angle glaucoma.

RESULTS

In 41 patients the diagnosis of open-angle glaucoma was not real.

CONCLUSIONS

The diagnosis of open-angle glaucoma is made often without clear medical evidences.

摘要

目的

对一组已诊断并接受治疗的开角型青光眼患者重新进行诊断。

方法

100例已诊断并接受治疗的开角型青光眼患者被送至我们的诊所进行自动视野检查。我们评估:眼压、自动视野检查、视盘;有时我们会停止治疗并重新评估眼压;有时进行眼压描记法。我们确定开角型青光眼的诊断是否成立。

结果

41例患者的开角型青光眼诊断并不成立。

结论

开角型青光眼的诊断常常缺乏明确的医学证据。

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