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青光眼的早期诊断。视盘连续立体摄影的价值。

Early diagnosis of glaucoma. The value of successive stereophotography of the optic disc.

作者信息

Odberg T, Riise D

出版信息

Acta Ophthalmol (Copenh). 1985 Jun;63(3):257-63. doi: 10.1111/j.1755-3768.1985.tb06801.x.

DOI:10.1111/j.1755-3768.1985.tb06801.x
PMID:4036552
Abstract

A group of 46 patients with ocular hypertension (initial pressure 22-30 mmHg) have been followed prospectively for 5-7.5 years, with special emphasis on optic disc changes. A stereophoto of the disc was taken at each consultation. So far, 24 patients have been put on anti-glaucoma therapy. A slight increase in disc cupping revealed by stereophoto was the first pathological finding in 19 patients. Only one patient developed a field defect without visible disc changes. Neither disc description, cup/disc ratio measurement nor disc drawing were accurate enough to disclose small changes in the cup size. Considerably more patients in the treatment group had a pressure rise of 5 mm or more and repeated intraocular pressures of 30 mm or more during the observation. Stereophotography of the optic disc was found to be a valuable method in the diagnosis of early glaucoma.

摘要

一组46例高眼压患者(初始眼压22 - 30 mmHg)接受了为期5至7.5年的前瞻性随访,特别关注视盘变化。每次会诊时都拍摄视盘的立体照片。到目前为止,24例患者已接受抗青光眼治疗。立体照片显示视盘杯状凹陷略有增加是19例患者的首个病理发现。只有1例患者出现视野缺损但视盘无可见变化。视盘描述、杯盘比测量或视盘绘图均不够准确,无法揭示杯状大小的微小变化。在观察期间,治疗组中相当多的患者眼压升高5 mmHg或更多,且多次眼压达到30 mmHg或更高。视盘立体摄影被发现是早期青光眼诊断的一种有价值的方法。

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