Mantravadi Anand V, Vadhar Neil
Glaucoma Service, Wills Eye Hospital, 840 Walnut Street, Suite 1110, Philadelphia, PA 19107, USA.
Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Prim Care. 2015 Sep;42(3):437-49. doi: 10.1016/j.pop.2015.05.008. Epub 2015 Jul 29.
Glaucoma is a multifactorial degenerative optic neuropathy that can progress at variable rates and afflict all age groups. It is the second leading cause of blindness worldwide. The disease is commonly divided into 2 major subtypes, open angle and angle closure. Diagnosis of glaucoma is made by a combination of identifying characteristic changes of the optic nerve, functional testing such as visual fields, and structural imaging of the optic nerve. Management is aimed at reducing intraocular pressure (IOP). Patients with known risk factors should be referred to an ophthalmologist for complete evaluation.
青光眼是一种多因素的退行性视神经病变,其进展速度因人而异,可累及所有年龄组。它是全球第二大致盲原因。该疾病通常分为两大主要亚型,开角型和闭角型。青光眼的诊断是通过识别视神经的特征性变化、视野等功能测试以及视神经的结构成像来综合判断的。治疗的目标是降低眼压(IOP)。有已知风险因素的患者应转诊至眼科医生处进行全面评估。