Bulson Ryan, Faridi Ambar
Pacific University College of Optometry.
VA Portland Health Care System and at Oregon Health & Science University's Casey Eye Institute.
Optom Educ. 2017 Summer;42(17):16-22.
Behind cataracts, glaucoma is the second leading cause of blindness worldwide. Patients with glaucoma are followed at regular intervals for testing to confirm stability of the disease; however, providers may need to divert from planned glaucoma testing when clinical findings suggest progression of comorbid ophthalmic conditions. This case report describes a patient presenting for a routine glaucoma follow-up appointment who was subsequently diagnosed with an acute choroidal neovascular membrane due to conversion from non-neovascular to neovascular age-related macular degeneration. The case highlights the management of normotensive glaucoma and both non-neovascular and neovascular macular degeneration.
在白内障之后，青光眼是全球第二大致盲原因。青光眼患者需定期接受检查以确认病情稳定；然而，当临床检查结果提示合并的眼科疾病进展时，医护人员可能需要偏离计划好的青光眼检查。本病例报告描述了一名前来进行常规青光眼随访预约的患者，该患者随后被诊断为急性脉络膜新生血管膜，原因是其年龄相关性黄斑变性从非新生血管性转变为新生血管性。该病例突出了正常眼压性青光眼以及非新生血管性和新生血管性黄斑变性的治疗。
