Emanuel Matthew E, Gedde Steven J
Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Fla.
Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Fla.
Can J Ophthalmol. 2014 Dec;49(6):506-11. doi: 10.1016/j.jcjo.2014.10.001.
Most glaucomas are primary in nature. However, many adult and childhood glaucomas are secondary, and they require systemic evaluation to pick up associated systemic disease. Conditions such as nocturnal hypotension and sleep apnea may contribute to glaucomatous progression, whereas neurologic diseases may mimic normal tension glaucoma based on disc appearance. This review highlights those conditions in which a focused systemic work-up can improve glaucoma management and potentially discover life-threatening disease.
大多数青光眼本质上是原发性的。然而，许多成人和儿童青光眼是继发性的，需要进行全面的系统评估以发现相关的全身性疾病。夜间低血压和睡眠呼吸暂停等情况可能会导致青光眼病情进展，而神经系统疾病可能会根据视盘外观表现类似正常眼压性青光眼。本综述重点介绍了那些通过有针对性的系统检查可以改善青光眼治疗并有可能发现危及生命疾病的情况。
