Hitchings R A
Br J Ophthalmol. 1978 Oct;62(10):670-5. doi: 10.1136/bjo.62.10.670.
Ten patients (14 eyes) with chronic simple glaucoma are described, each with features atypical for this disease and more suggestive that each had suffered an acute ischaemic optic neuropathy. Diagnosis of an acute ischaemic optic neuropathy in these cases is important, as treatment of ocular hypertension in the contralateral 'normal' eye may prevent a similar attack. Optic nerve disease and visual loss in chronic simple glaucoma probably occur as a result of several different mechanisms. Sudden field loss following an acute ischaemic optic neuropathy may be only one of them.
本文描述了10例（14只眼）慢性单纯性青光眼患者，每例患者均具有该疾病的非典型特征，更提示其曾患急性缺血性视神经病变。在这些病例中诊断急性缺血性视神经病变很重要，因为对侧“正常”眼的眼压治疗可能预防类似发作。慢性单纯性青光眼中的视神经疾病和视力丧失可能是由几种不同机制导致的。急性缺血性视神经病变后突然出现的视野缺损可能只是其中之一。
