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眼压升高患者视盘杯状凹陷的预后意义。

Prognostic significance of optic disk cupping in ocular hypertensive patients.

作者信息

Yablonski M E, Zimmerman T J, Kass M A, Becker B

出版信息

Am J Ophthalmol. 1980 Apr;89(4):585-92. doi: 10.1016/0002-9394(80)90071-9.

DOI:10.1016/0002-9394(80)90071-9
PMID:7369323
Abstract

The stereoscopic photographs of 102 patients with increased intraocular pressure (IOP) and normal visual fields were graded for cup:disk ratio. All patients were followed up for a five-year period, during which time 27 patients developed glaucomatous visual field loss and 75 patients did not. The patients who subsequently developed glaucomatous visual field loss had significantly larger cup:disk ratios than did the patients who did not develop glaucomatous visual field loss. Patients with a mean IOP greater than or equal to 28 mm Hg and a vertical contour cup:disk ratio greater than or equal to 0.6 had a 100% incidence of the development of glaucomatous visual field loss as compared to a 2% incidence in those with a mean IOP less than 28 mm Hg and a vertical cup:disk ratio less than 0.6. Disk:cup asymmetry and progressive increase in the area of the disk occupied by the cup was more common in the group that developed glaucomatous visual field loss.

摘要

对102例眼压升高且视野正常的患者的立体照片进行杯盘比分级。所有患者均随访5年,在此期间,27例患者出现青光眼性视野缺损,75例患者未出现。随后出现青光眼性视野缺损的患者杯盘比明显大于未出现青光眼性视野缺损的患者。平均眼压大于或等于28 mmHg且垂直轮廓杯盘比大于或等于0.6的患者发生青光眼性视野缺损的发生率为100%,而平均眼压小于28 mmHg且垂直杯盘比小于0.6的患者发生率为2%。杯盘不对称以及杯占据的视盘面积逐渐增加在发生青光眼性视野缺损的组中更为常见。

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