Zhao Jia-liang
Zhonghua Yan Ke Za Zhi. 2009 Oct;45(10):865-7.
International ophthalmological societies and World Health Organization (WHO) have recognized the severity of glaucoma problem and the importance for promoting the glaucoma control worldwide. WHO has taken some measures to reinforce the global prevention of blindness from primary glaucomas. The rationale to deal with the glaucoma problem is that glaucomas produce a significant global public health burden at present, and glaucoma can be effectively treated once detected according the evidenced-based practice protocols for glaucoma management. Taking the glaucoma control as the priority for prevention of blindness means not only apply the clinical path, but also apply public health path and integrate various levels of ophthalmic manpower to deal with glaucoma problem. That is a great change in the prevention and management of glaucomas. Screening and early detection of glaucoma cases is very important in glaucoma control. At present, enhancing opportunistic case detection has been used to find more undiagnosed and untreated glaucoma cases, since evidence regarding the benefits of population-based screening is currently lacking. The scope of intervention strategies for glaucoma control should be matched with the local socio-economic status, thus the initiative for glaucoma control can be smoothly developed and progressed.
国际眼科学会和世界卫生组织（WHO）已经认识到青光眼问题的严重性以及在全球范围内促进青光眼防治工作的重要性。WHO已采取一些措施加强全球原发性青光眼致盲的预防工作。应对青光眼问题的基本原理是，目前青光眼在全球造成了重大的公共卫生负担，并且根据基于循证实践的青光眼管理方案，青光眼一旦被发现就能得到有效治疗。将青光眼防治作为预防失明的优先事项不仅意味着要应用临床路径，还要应用公共卫生路径，并整合各级眼科人力来应对青光眼问题。这是青光眼预防和管理方面的重大变革。青光眼病例的筛查和早期发现对青光眼防治非常重要。目前，由于目前缺乏基于人群筛查益处的证据，加强机会性病例发现已被用于发现更多未诊断和未治疗的青光眼病例。青光眼防治干预策略的范围应与当地社会经济状况相匹配，这样青光眼防治工作才能顺利开展并取得进展。
