Lü D G
Department of Ophthalmology, Heilongjiang Provincial Hospital, Harbin.
Zhonghua Yan Ke Za Zhi. 1990 Jul;26(4):205-8.
The RNFLD and the visual field in 73 cases (124 eyes) of primary open-angle glaucoma were studied. It was found that the early RNFLDs were usually local, as combed-hair, slit-like, or wedge shaped defects, while in the medium or late stage, diffuse RNFL atrophy or mixed RNF-LD was the rule. In the group of localized RNFLDs, 8.8% of the patients showed no visual field anomalies, indicating that RNFL damages preceded visual field damages; in the rest of the patients, visual field defects corresponded with the RNFLD in 86.7% of the cases. In patients of the medium or late stage with mixed or diffuse RNFLD, nasal steps and isopter constriction were usually found that corresponded perfectly with the RNFLD.
对73例（124只眼）原发性开角型青光眼患者的视网膜神经纤维层缺损（RNFLD）和视野进行了研究。发现早期RNFLD通常是局部性的，呈梳发状、裂隙状或楔形缺损，而在中晚期，弥漫性视网膜神经纤维层萎缩或混合性RNFLD则较为常见。在局限性RNFLD组中，8.8%的患者未出现视野异常，这表明RNFL损害先于视野损害；在其余患者中，86.7%的病例视野缺损与RNFLD相对应。在中晚期混合性或弥漫性RNFLD患者中，通常会发现鼻侧阶梯和等视线收缩，且与RNFLD完全相符。
