视乳头旁萎缩与青光眼关联中的争议。
Controversies in the association of parapapillary atrophy with glaucoma.
作者信息
Ahmad Syed Shoeb, Tanveer Yusra, Siddique Musab, Saleem Zeba
机构信息
Ajmal Khan Tibbiya College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
出版信息
Taiwan J Ophthalmol. 2019 Oct 31;10(4):243-249. doi: 10.4103/tjo.tjo_64_19. eCollection 2020 Oct-Dec.
Parapapillary atrophy is a condition which is seen in around 70% of normal individuals. Classically divided into zone alpha and beta, recently, it has been further categorized into zone gamma and delta. Some of these zones of parapapillary atrophy are more prevalent and larger in size in glaucoma patients. Studies have also found the rate of progression of glaucomatous change to be faster in patients with this anomaly. This condition is of clinical significance in glaucoma suspects, as it could be another pointer indicating potential risk of converting to glaucoma. On the contrary, there are other studies which question the relevance of these clinical features in glaucoma patients. In the light of these conflicting reports, it becomes an interesting exercise to explore this controversial area further. This review attempts to determine the role of parapapillary atrophy and its relevance with glaucoma. With this purpose, an online search for this term was conducted on search engines such as PubMed, Google Scholar, and others.
视盘旁萎缩是一种在约70%的正常个体中可见的情况。传统上分为α区和β区，最近又进一步分为γ区和δ区。青光眼患者的这些视盘旁萎缩区域中，有些更为普遍且面积更大。研究还发现，有这种异常的患者青光眼性病变的进展速度更快。这种情况在青光眼疑似患者中具有临床意义，因为它可能是另一个表明转化为青光眼潜在风险的指标。相反，其他一些研究对这些临床特征在青光眼患者中的相关性提出了质疑。鉴于这些相互矛盾的报告，进一步探索这个有争议的领域就成为了一项有趣的工作。这篇综述试图确定视盘旁萎缩的作用及其与青光眼的相关性。为此，在诸如PubMed、谷歌学术等搜索引擎上对该术语进行了在线搜索。
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