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[青光眼病程中的结构改变]

[Structural alterations during the course of glaucoma disease].

作者信息

Mardin C Y, Schlötzer-Schrehardt U

机构信息

Universitätsaugenklinik Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland,

出版信息

Ophthalmologe. 2015 May;112(5):410-7. doi: 10.1007/s00347-014-3152-7.

DOI:10.1007/s00347-014-3152-7
PMID:25701239
Abstract

BACKGROUND

Structural changes in the course of glaucoma disease affect the trabecular meshwork and ciliary body in addition to the optic disc as the primary site of glaucoma damage.

OBJECTIVES

Latest results from experimental studies, animal models and measurements in human eyes are presented and discussed.

RESULTS

The presenting scenario is complex with age, biochemical and mechanical stress factors leading to subsequent, irreversible tissue change in the trabecular meshwork and cribriform plate of the optic nerve, resulting in neuronal tissue loss.

CONCLUSION

Knowledge of these changes will be the key for future glaucoma therapies.

摘要

背景

青光眼病程中的结构变化除了影响作为青光眼损害主要部位的视盘外,还会影响小梁网和睫状体。

目的

展示并讨论来自实验研究、动物模型及人眼测量的最新结果。

结果

目前的情况很复杂,年龄、生化和机械应激因素会导致小梁网和视神经筛板随后发生不可逆的组织变化,从而导致神经元组织丧失。

结论

了解这些变化将是未来青光眼治疗的关键。

相似文献

1
[Structural alterations during the course of glaucoma disease].[青光眼病程中的结构改变]
Ophthalmologe. 2015 May;112(5):410-7. doi: 10.1007/s00347-014-3152-7.
2
Age-related posterior ciliary muscle restriction - A link between trabecular meshwork and optic nerve head pathophysiology.年龄相关性睫状肌后徙受限——小梁网与视神经乳头病理生理学之间的联系
Exp Eye Res. 2017 May;158:187-189. doi: 10.1016/j.exer.2016.07.007. Epub 2016 Jul 22.
3
Change in the optic disc and nerve fiber layer estimated with the glaucoma-scope in monkey eyes.用青光眼镜评估猴眼视盘和神经纤维层的变化。
J Glaucoma. 1996 Apr;5(2):106-16.
4
[Pathophysiology of hydrodynamics in glaucoma].
Fortschr Ophthalmol. 1988;85(1):33-7.
5
Severity of optic nerve damage in eyes with POAG is correlated with changes in the trabecular meshwork.原发性开角型青光眼(POAG)患者眼睛的视神经损伤严重程度与小梁网的变化相关。
J Glaucoma. 1997 Apr;6(2):123-32.
6
Importance of trabecular meshwork changes in the pathogenesis of primary open-angle glaucoma.
J Glaucoma. 2000 Dec;9(6):417-8. doi: 10.1097/00061198-200012000-00001.
7
Aging and ocular tissue stiffness in glaucoma.青光眼与衰老及眼组织硬度
Surv Ophthalmol. 2018 Jan-Feb;63(1):56-74. doi: 10.1016/j.survophthal.2017.06.007. Epub 2017 Jun 27.
8
Viscoelastic material properties of the peripapillary sclera in normal and early-glaucoma monkey eyes.正常和早期青光眼猴眼视乳头周围巩膜的粘弹性材料特性
Invest Ophthalmol Vis Sci. 2005 Feb;46(2):540-6. doi: 10.1167/iovs.04-0114.
9
Early degenerative changes associated with spontaneous glaucoma in dogs.
J Vet Diagn Invest. 1994 Apr;6(2):259-63. doi: 10.1177/104063879400600221.
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Morphological changes in glaucomatous eyes and the role of TGFbeta2 for the pathogenesis of the disease.青光眼患者眼部的形态学变化以及转化生长因子β2在该疾病发病机制中的作用。
Exp Eye Res. 2005 Jul;81(1):1-4. doi: 10.1016/j.exer.2005.02.008.

本文引用的文献

1
Cerebrospinal fluid pressure and glaucoma.脑脊液压力与青光眼
J Ophthalmic Vis Res. 2013 Jul;8(3):257-63.
2
Onset and progression of peripapillary retinal nerve fiber layer (RNFL) retardance changes occur earlier than RNFL thickness changes in experimental glaucoma.实验性青光眼患者的视乳头周围视网膜神经纤维层(RNFL)迟滞变化的发生和进展早于 RNFL 厚度变化。
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3
Longitudinal analysis of progression in glaucoma using spectral-domain optical coherence tomography.
应用频域光学相干断层扫描仪对青光眼进展的纵向分析。
Invest Ophthalmol Vis Sci. 2013 May 1;54(5):3613-20. doi: 10.1167/iovs.12-9786.
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Glaucoma.青光眼。
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A biomechanical paradigm for axonal insult within the optic nerve head in aging and glaucoma.视神经头内衰老和青光眼相关轴突损伤的生物力学模式。
Exp Eye Res. 2011 Aug;93(2):120-32. doi: 10.1016/j.exer.2010.09.005. Epub 2010 Sep 16.
6
Glaucomatous cupping of the lamina cribrosa: a review of the evidence for active progressive remodeling as a mechanism.青光眼性视盘筛板凹陷:主动进行性重塑作为一种机制的证据综述。
Exp Eye Res. 2011 Aug;93(2):133-40. doi: 10.1016/j.exer.2010.08.004. Epub 2010 Aug 11.
7
Topographic differences in the age-related changes in the retinal nerve fiber layer of normal eyes measured by Stratus optical coherence tomography.用 Stratus 光学相干断层扫描仪测量正常眼视网膜神经纤维层的年龄相关性变化的地形差异。
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[Long-term follow-ups of patients with glaucoma with digital planimetry].
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Linking structure and function in glaucoma.青光眼的结构与功能关联。
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[Oxidative stress in the trabecular meshwork of POAG].[原发性开角型青光眼小梁网中的氧化应激]
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