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青光眼性视神经萎缩的视野缺损、杯盘比及荧光素血管造影

Visual field defects, cup-disc ratio and fluorescein angiography in glaucomatous optic atrophy.

作者信息

Tsukahara S, Nagataki S, Sugaya M, Yoshida S, Komuro Y

出版信息

Adv Ophthalmol. 1978;35:73-93.

PMID:343552
Abstract

Fluorescein angiography was carried out in 150 glaucoma subjects. Among them 94 subjects were selected to evaluate the correlation between functional loss and the findings of fluorescein angiography in the optic disc. The intensity of fluorescence was assessed in the superficial reticular capillaries and radial epipapillary capillaries. Functional loss was estimated by the visual field defects and cup-disc ratio. A marked decrease in the capillaries was seen in accordance with the increase in the cup-disc ratio. Also, the intensity of fluorescence in the optic disc paralleled the change in the visual field: the greater the deterioration in the visual field, the fewer the capillaries in the optic nerve head and vice versa. The fluorograms of 94 subjects were placed in one out of six groups, i.e. (1) normal, (2) arcuate scotoma, (3) superior or inferior nasal defects, (4) superior or inferior defects, (5) central residue or (6) temporal residue. The common factors correlating the fluorescein angiography in the glaucomatous optic disc with visual field loss were explored in 94 subjects, and it was possible to predict the visual field change from the capillary distribution in the glaucomatous optic disc.

摘要

对150名青光眼患者进行了荧光素血管造影。其中94名患者被选来评估视盘功能丧失与荧光素血管造影结果之间的相关性。在浅层网状毛细血管和视乳头周围放射状毛细血管中评估荧光强度。通过视野缺损和杯盘比来估计功能丧失情况。随着杯盘比的增加,可见毛细血管明显减少。此外,视盘的荧光强度与视野变化平行:视野恶化越严重,视神经乳头中的毛细血管越少,反之亦然。94名患者的荧光造影照片被分为六组中的一组,即(1)正常组、(2)弓形暗点组、(3)鼻上或鼻下缺损组、(4)上方或下方缺损组、(5)中央残留组或(6)颞侧残留组。在94名患者中探索了青光眼视盘荧光素血管造影与视野缺损相关的共同因素,并且有可能从青光眼视盘的毛细血管分布预测视野变化。

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Adv Ophthalmol. 1978;35:73-93.
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