Wolfram Christian, Schuster Alexander K
Augenklinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
Augenklinik und Poliklinik, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Ophthalmologe. 2022 Jan;119(1):38-45. doi: 10.1007/s00347-021-01352-1. Epub 2021 Mar 17.
Glaucoma care has extended enormously in recent years. We performed a survey among the members of the German Ophthalmological Society (DOG) and the Professional Association of Ophthalmologists in Germany (BVA) to explore treatment patterns, the importance of different diagnostic parameters as well as treatment guidelines in the daily practice of glaucoma care.
Assessment of the current practice of glaucoma care among German ophthalmologists, evaluation of key diagnostic parameters and their use in daily practice.
Our survey was conducted using an online questionnaire that consisted of 26 questions (107 items) about the treatment practice for the diagnosis and treatment of glaucoma. Complete responses were available from 1361 participants.
Slit-lamp examination still remains the most important tool for diagnosis in glaucoma. A very high ranking was also achieved for optical coherence tomography (OCT) parameters. With respect to clinical interpretation and diagnostic certainty parameters analyzing the optic disc were ranked higher than others. Guideline-oriented care is being practiced by the vast majority of ophthalmologists according to self-reported results-two thirds perform perimetry two or more times and a structural analysis once in the first year after diagnosis. The importance of gonioscopy is controversial among the survey participants and is therefore being practiced with different intensity.
The diagnosis of glaucoma is challenging. Different diagnostic parameters are of different values to the ophthalmologists. Morphometric tools have achieved a highly important role for the diagnosis of glaucoma and enable assisted, yet not automated diagnosis. Treatment guidelines and standards are requested and should be implemented in education and care practice.
近年来青光眼护理有了极大的扩展。我们对德国眼科学会（DOG）和德国眼科医生专业协会（BVA）的成员进行了一项调查，以探讨青光眼护理日常实践中的治疗模式、不同诊断参数的重要性以及治疗指南。
评估德国眼科医生当前的青光眼护理实践，评估关键诊断参数及其在日常实践中的应用。
我们使用一份在线问卷进行调查，该问卷包含26个关于青光眼诊断和治疗实践的问题（107项）。共有1361名参与者提供了完整的回复。
裂隙灯检查仍然是青光眼诊断中最重要的工具。光学相干断层扫描（OCT）参数也获得了很高的排名。在临床解读和诊断确定性方面，分析视盘的参数排名高于其他参数。根据自我报告的结果，绝大多数眼科医生都遵循以指南为导向的护理——三分之二的医生在诊断后的第一年进行两次或更多次视野检查，以及一次结构分析。前房角镜检查的重要性在调查参与者中存在争议，因此其实施强度各不相同。
青光眼的诊断具有挑战性。不同的诊断参数对眼科医生具有不同的价值。形态测量工具在青光眼诊断中发挥了非常重要的作用，能够辅助但不能自动进行诊断。需要制定治疗指南和标准，并应在教育和护理实践中实施。
