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青光眼类似病症:病因、诊断评估及相关建议的全面综述。

Glaucoma Mimickers: A major review of causes, diagnostic evaluation, and recommendations.

机构信息

VST Glaucoma Center, L V Prasad Eye Institute, Hyderabad, India.

Nimmagada Prasad Children's Eye Care Centre, GMRV Campus, L V Prasad Eye Institute, Visakhapatnam, India.

出版信息

Semin Ophthalmol. 2021 Nov 17;36(8):692-712. doi: 10.1080/08820538.2021.1897855. Epub 2021 Mar 10.

Abstract

: Glaucoma is characterized by chronic progressive optic neuropathy with corresponding visual field changes, with or without raised intraocular pressure (IOP). When diagnosing glaucoma or monitoring its progression, the examiner has to rely on the appearance of the optic disc, characteristic retinal nerve fiber layer defects, and corresponding visual field defects. However, similar changes and symptoms may be observed in several other disorders of the optic nerve and retina that may mimic glaucoma, often leading to misdiagnosis. : The consequences of misdiagnosis not only result in improper treatment that may impact vision but also would negatively affect the overall health, psychological well-being of the patient, and may have considerable economic implications.: The current review describes various conditions that mimic glaucoma and the features that help differentiate these conditions from glaucoma.

摘要

青光眼的特征是慢性进行性视神经病变,伴有或不伴有眼压升高(IOP)。在诊断青光眼或监测其进展时,检查者必须依靠视盘的外观、特征性视网膜神经纤维层缺陷和相应的视野缺陷。然而,几种其他的视神经和视网膜疾病也可能出现类似的变化和症状,这些疾病可能与青光眼相类似,常常导致误诊。误诊的后果不仅会导致视力受损的不当治疗,还会对患者的整体健康、心理幸福感产生负面影响,并可能产生相当大的经济影响。本文综述描述了模仿青光眼的各种情况,以及有助于将这些情况与青光眼区分开来的特征。

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