Meyers H
J Am Optom Assoc. 1977 Feb;48(2):149-54.
An overview on the literature on primary open angle glaucoma that has appeared in the optometric and ophthalmological journals during the past ten years indicates a continuing reevaluation, and perhaps at times a seeming disagreement, regarding the parameters of this disease. Opinions have varied, and still do, on such matters as to whether or not the diagnosis of glaucoma is contingent upon a field defect, the existence of low tension glaucoma, the ramifications of ocular hypertension, what constitutes a glaucomatous appearance of the disc, field defects versus the appearance of the disc, field defects versus the appearance of the disc, and what constitutes an early glaucomatous field defect. Voices have been raised in some quarters that claim that waiting for a field defect to develop may not be in the best interest of the patient, and that the glaucoma suspect should be identified as early as possible. Treatment before the development of a field defect is enjoying support from some glaucoma authorities. Good clinical practice will permit the conscientious optometrist to identify those patients who have very early signs of this disease.
对过去十年间验光和眼科期刊上发表的原发性开角型青光眼文献的综述表明，对于该疾病的参数，人们一直在持续重新评估，有时甚至似乎存在分歧。对于诸如青光眼的诊断是否取决于视野缺损、低眼压性青光眼的存在、眼压升高的后果、视盘的青光眼外观构成、视野缺损与视盘外观的关系以及早期青光眼性视野缺损的构成等问题，观点一直存在差异，现在依然如此。一些人主张等待视野缺损出现可能不符合患者的最佳利益，青光眼可疑患者应尽早被识别出来。在视野缺损出现之前进行治疗得到了一些青光眼权威人士的支持。良好的临床实践将使尽责的验光师能够识别出那些患有该疾病非常早期症状的患者。
