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[利用视网膜神经纤维摄影术诊断青光眼]

[Diagnosis of glaucoma using retinal nerve fiber photography].

作者信息

Schmidt K U, Schmitz-Valckenberg P

出版信息

Fortschr Ophthalmol. 1989;86(5):486-8.

PMID:2583644
Abstract

Clinical valuable retinal nerve fiber layer (RNFL) pictures are possible with every fundus camera when using the excitation or green filter. The conclusions follow by projection of the black-and-white print film. The more expensive production of paper prints is not always necessary for the judgement of the RNFL. RNFL-photography may facilitate the diagnosis and follow-up of optic nerve damages, especially the evaluation of eyes with an enlarged cup of the disk or of eyes with elevated intraocular pressure (IOP) without visual field defects. The damage of RNFL can be diffuse or localized. Diffuse damaging is difficult to detect. Localized RNFL-defects may be either slit- or grove-like and will be found in the upper and lower temporal arcuate. Slit like defects may be seen in normal eyes, too. RNFL-photography allows additional information in glaucoma suspect eyes.

摘要

当使用激发滤光片或绿色滤光片时,每台眼底相机都能够拍摄出具有临床价值的视网膜神经纤维层(RNFL)图像。这些结论是通过黑白打印胶片的投影得出的。对于RNFL的判断,并不总是需要更昂贵的纸质打印件。RNFL摄影有助于视神经损伤的诊断和随访,特别是对于视盘杯扩大的眼睛或眼压升高(IOP)但没有视野缺损的眼睛的评估。RNFL的损伤可以是弥漫性的或局限性的。弥漫性损伤很难检测到。局限性RNFL缺损可能呈裂隙状或沟状,会出现在颞上和颞下弓形区域。裂隙状缺损在正常眼睛中也可能出现。RNFL摄影可为疑似青光眼的眼睛提供额外信息。

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