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[原发性开角型青光眼视神经盘改变与视野的相关性]

[Correlation of changes of the optic nerve disc and the field of vision in initial open-angle glaucoma].

作者信息

Listopadova N A, Romanova T B

出版信息

Vestn Oftalmol. 1989 Jan-Feb;105(2):3-7.

PMID:2728162
Abstract

Compliance of the optic disc with the visual field has been examined with the Peritest in 137 eyes (90 patients) with initial open-angle glaucoma. Coincidence of the two states has been observed in 54% of cases, no coincidence in the rest. The authors' findings evidence that changes in the visual field have anticipated the optic disc changes in 48% of cases, whereas optic disc shifts have developed before the visual field defects in 52% of cases. An important factor contributing to the compliance of the optic disc with the visual field is, besides the excavation area, the neuroglial ring status, that has been changed in 58% of cases. The authors come to the conclusion that combined changes in the visual field and optic disc are a more reliable criterion confirming the diagnosis of glaucoma.

摘要

对137只眼睛(90例患者)的原发性开角型青光眼患者,使用Peritest检查视盘与视野的依从性。54%的病例观察到两种状态相符,其余病例不相符。作者的研究结果表明,48%的病例中视野变化先于视盘变化,而52%的病例中视盘移位先于视野缺损出现。除了凹陷面积外,神经胶质环状态是对视盘与视野依从性有重要影响的因素,58%的病例中该状态发生了改变。作者得出结论,视野和视盘的联合变化是确诊青光眼更可靠的标准。

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