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视神经乳头的解剖与评估。

Anatomy and evaluation of the optic nerve head.

作者信息

Machado Lilian F, Furlanetto Rafael L, Gracitelli Carolina P B

机构信息

Department of Ophthalmology and Vision Science, Glaucoma Service, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Centro de Estudos Alcides Hirai, Ver Mais Oftalmologia, Vinhedo, SP, Brazil.

出版信息

Arq Bras Oftalmol. 2022 Feb 14;85(6):636-643. doi: 10.5935/0004-2749.20220080. eCollection 2022.

DOI:10.5935/0004-2749.20220080
PMID:35170637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11826695/
Abstract

Evaluation of the optic disc is important for the correct diagnosis and follow-up of optic neuropathies, especially glaucoma. The characteristics of the optic disc depend on various factors, including demographic and population aspects, and analysis of these characteristics may vary according to the methods used. The size and format of the neural rim along with the nerve fiber layer are important to the clinician's judgment regarding the susceptibility of the subject to develop glaucoma. In this study, we reviewed the literature to summarize the main methods and its characteristics in the evaluation of the optic nerve head.

摘要

对视盘的评估对于正确诊断和随访视神经病变,尤其是青光眼至关重要。视盘的特征取决于多种因素,包括人口统计学和人群方面,并且根据所使用的方法,对这些特征的分析可能会有所不同。神经纤维层的神经盘边缘的大小和形态对于临床医生判断受试者患青光眼的易感性很重要。在本研究中,我们回顾了文献,以总结评估视神经乳头的主要方法及其特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/42b71efc9568/abo-85-06-0636-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/c10090fa2540/abo-85-06-0636-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/8b9869dbd5c5/abo-85-06-0636-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/42b71efc9568/abo-85-06-0636-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/c10090fa2540/abo-85-06-0636-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/8b9869dbd5c5/abo-85-06-0636-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498a/11826695/42b71efc9568/abo-85-06-0636-g03.jpg

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1
Anatomy and evaluation of the optic nerve head.视神经乳头的解剖与评估。
Arq Bras Oftalmol. 2022 Feb 14;85(6):636-643. doi: 10.5935/0004-2749.20220080. eCollection 2022.
2
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Five rules to evaluate the optic disc and retinal nerve fiber layer for glaucoma.评估青光眼视盘和视网膜神经纤维层的五条规则。
Optometry. 2005 Nov;76(11):661-8. doi: 10.1016/j.optm.2005.08.029.
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New findings in the evaluation of the optic disc in glaucoma diagnosis.青光眼诊断中视盘评估的新发现。
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Evaluating the optic disc and retinal nerve fiber layer in glaucoma. I: Clinical examination and photographic methods.青光眼视盘及视网膜神经纤维层的评估。I:临床检查及照相方法。
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引用本文的文献

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Automated evaluation of parapapillary choroidal microvasculature in crowded optic discs: a controlled, optical coherence tomography angiography study.拥挤视盘中视乳头周围脉络膜微血管系统的自动评估:一项对照光学相干断层扫描血管造影研究
Int J Ophthalmol. 2024 Jan 18;17(1):113-118. doi: 10.18240/ijo.2024.01.15. eCollection 2024.

本文引用的文献

1
Comparison of Fundus Biomicroscopy Examination of the Optic Nerve Head with and without Mydriasis.未散瞳与散瞳后眼底视神经头的生物显微镜检查比较。
Ophthalmic Res. 2020;63(1):8-12. doi: 10.1159/000500980. Epub 2019 Aug 27.
2
Automated Beta Zone Parapapillary Area Measurement to Differentiate Between Healthy and Glaucoma Eyes.自动化β区视盘旁区测量区分健康眼与青光眼眼。
Am J Ophthalmol. 2018 Jul;191:140-148. doi: 10.1016/j.ajo.2018.04.021. Epub 2018 May 9.
3
The disc damage likelihood scale: Diagnostic accuracy and correlations with cup-to-disc ratio, structural tests and standard automated perimetry.
椎间盘损伤可能性量表:诊断准确性及其与杯盘比、结构测试和标准自动视野计的相关性
PLoS One. 2017 Jul 20;12(7):e0181428. doi: 10.1371/journal.pone.0181428. eCollection 2017.
4
A comparison of cup-to-disc ratio estimates by fundus biomicroscopy and stereoscopic optic disc photography in the Tema Eye Survey.在特马眼部调查中,通过眼底生物显微镜检查和立体视盘摄影对杯盘比估计值进行的比较。
Eye (Lond). 2017 Aug;31(8):1184-1190. doi: 10.1038/eye.2017.50. Epub 2017 Apr 7.
5
Diagnostic accuracy of imaging devices in glaucoma: A meta-analysis.青光眼成像设备的诊断准确性:一项荟萃分析。
Surv Ophthalmol. 2017 Jul-Aug;62(4):446-461. doi: 10.1016/j.survophthal.2017.01.001. Epub 2017 Jan 14.
6
Clinical Utility of Optical Coherence Tomography in Glaucoma.光学相干断层扫描在青光眼诊断中的临床应用
Invest Ophthalmol Vis Sci. 2016 Jul 1;57(9):OCT556-67. doi: 10.1167/iovs.16-19933.
7
Evaluation of the Optic Nerve Head in Glaucoma.青光眼视乳头评估
J Curr Glaucoma Pract. 2013 Sep-Dec;7(3):106-14. doi: 10.5005/jp-journals-10008-1146. Epub 2013 Sep 6.
8
Optical Coherence Tomography Angiography of the Peripapillary Retina in Glaucoma.青光眼患者视乳头周围视网膜的光学相干断层扫描血管造影
JAMA Ophthalmol. 2015 Sep;133(9):1045-52. doi: 10.1001/jamaophthalmol.2015.2225.
9
Spectral-Domain Optical Coherence Tomography for Glaucoma Diagnosis.用于青光眼诊断的频域光学相干断层扫描技术
Open Ophthalmol J. 2015 May 15;9:68-77. doi: 10.2174/1874364101509010068. eCollection 2015.
10
The pathophysiology and treatment of glaucoma: a review.青光眼的病理生理学和治疗:综述。
JAMA. 2014 May 14;311(18):1901-11. doi: 10.1001/jama.2014.3192.