正常眼压性青光眼检查中的神经学评估：它们值得付出努力吗？
Neurologic evaluations in normal-tension glaucoma workups: are they worth the effort?
作者信息
Kesler Anat, Haber Inbal, Kurtz Shimon
机构信息
Department of Ophthalmology, Sourasky Tel Aviv Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
出版信息
Isr Med Assoc J. 2010 May;12(5):287-9.
BACKGROUND
Normal-tension glaucoma is a chronic progressive optic neuropathy of unknown etiology. Neuro-imaging workup in these patients is controversial.
OBJECTIVES
To determine the value of routine neurologic and neuro-ophthalmologic evaluations in patients with NTG.
METHODS
We conducted a retrospective review of all patients diagnosed with NTG in our institution between 2001 and 2006. Neurologic and neuro-ophthalmologic data were evaluated.
RESULTS
Sixty-eight patients were considered suitable for the study 135 males, 33 females; age range 43-90 years). Neurologic and neuro-ophthalmologic findings were normal in all of them. The computed tomography brain scan was normal in 88% and duplex carotid Doppler scan was normal in 92%.
CONCLUSIONS
Pathologic findings in neurologic and neuro-ophthalmologic assessments were uncommon in NTG. Therefore, contrary to earlier suggestions, neurologic and neuro-ophthalmologlc evaluations in typical normal-tension glaucoma patients appear to have no added value.
背景
正常眼压性青光眼是一种病因不明的慢性进行性视神经病变。这些患者的神经影像学检查存在争议。
目的
确定常规神经学和神经眼科评估在正常眼压性青光眼患者中的价值。
方法
我们对2001年至2006年间在本机构诊断为正常眼压性青光眼的所有患者进行了回顾性研究。评估神经学和神经眼科数据。
结果
68例患者被认为适合该研究（135例男性，33例女性；年龄范围43 - 90岁）。他们所有人的神经学和神经眼科检查结果均正常。88%的计算机断层扫描脑部检查正常，92%的双功能颈动脉多普勒扫描正常。
结论
在正常眼压性青光眼中，神经学和神经眼科评估的病理结果并不常见。因此，与早期观点相反，典型的正常眼压性青光眼患者的神经学和神经眼科评估似乎没有附加价值。
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