Leydhecker W, Krieglstein G K
Klin Monbl Augenheilkd. 1977 Aug;171(2):265-71.
Tonometric mass screening for industrial nations is not recommended. Amongst the reasons against mass screening is to be emphasized the sufficient prevention of glaucoma blindness, if the reading glasses are prescribed by the ophthalmologist and if he measures the intraocular pressure in each patient over 40 years of age. In developing countries the programmes are completely different since here no medical treatment is possible. The cost benefit calculation is presented for such mass screening, which should be directed to the early recognition of simple glaucoma and which should combine tonometry and Friedman Analyzer field study. Pilot studies should show, whether it is useful or not to include the inspection of the optic disc. Glaucoma teams could be associated with the cataract eye camps. Their work must be coordinated by a center, which evaluades the results of the examination teams and changes directives accordingly.
不建议在工业化国家进行眼压计大规模筛查。反对大规模筛查的原因中应强调，如果眼科医生为患者开具老花镜并为每位40岁以上患者测量眼压，就能充分预防青光眼致盲。在发展中国家，情况则完全不同，因为那里无法进行医疗治疗。本文给出了此类大规模筛查的成本效益计算，该筛查应旨在早期识别单纯性青光眼，并应结合眼压测量和弗里德曼分析仪视野检查。试点研究应表明，纳入视盘检查是否有用。青光眼防治团队可与白内障眼科营地合作。其工作必须由一个中心协调，该中心评估检查团队的结果并相应地更改指令。
