Cockburn D M
Am J Optom Physiol Opt. 1979 Feb;56(2):82-93. doi: 10.1097/00006324-197902000-00004.
A schema is proposed for management of optometrical patients who may have glaucoma or any of 22 risk factors of glaucoma. The assessment system has established decision points and management pathways based on risk factors in glaucoma which employ only clinical procedures appropriate to current optometrical practice. This schema is particularly designed to permit diagnosis of early angle-closure glaucoma while the disease is in the symptomless phase, prior to chronic elevation of intraocular pressure and the development of damage to the optic disc and visual fields. A recommendation is made for inclusion of the Van Herick test as routine and in the assessment of patients entering the schema. Gonioscopy should form part of the diagnostic workup, but an alternative pathway is established for use when this technique is omitted.
本文提出了一种针对可能患有青光眼或22种青光眼风险因素中任何一种的验光患者的管理方案。该评估系统基于青光眼的风险因素建立了决策点和管理路径，仅采用当前验光实践中适用的临床程序。该方案特别设计用于在疾病处于无症状阶段、眼压尚未长期升高以及视神经盘和视野尚未受损之前诊断早期闭角型青光眼。建议将范·赫里克试验作为常规检查纳入该方案，并用于评估进入该方案的患者。前房角镜检查应作为诊断检查的一部分，但在省略该技术时建立了替代路径。
