Harbin T S, Podos S M, Kolker A E, Becker B
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 Mar-Apr;81(2):253-7.
Twenty-one patients with primary open-angle glaucoma were followed an average of 4.4 years after developing monocular field loss. Nine of the undamaged fellow eyes developed field loss, while 16 of the 21 eyes presenting with field loss showed progression of field changes. In 13 patients, the presenting eye had a greater progression of field loss than the fellow eye, and asymmetry of pressure control explained this in only five patients. Eleven patients with symmetric pressure control had progressive field changes in one or both eyes, and in seven, the presenting eye showed greater progression than its fellow. This suggests that an eye with field loss may be more susceptible to progression of field changes at similar pressure levels than an eye without previous damage. Furthermore, patients with unilateral field loss have a greater incidence of field loss in the undamaged fellow eye than do patients with bilateral ocular hypertension.
21例原发性开角型青光眼患者在出现单眼视野缺损后平均随访4.4年。9只未受损的对侧眼出现了视野缺损，而21只出现视野缺损的眼中有16只显示视野改变进展。在13例患者中，患眼的视野缺损进展比其对侧眼更严重，而眼压控制不对称仅在5例患者中解释了这种情况。11例眼压控制对称的患者，一只或两只眼睛出现了进行性视野改变，其中7例患者的患眼比其对侧眼显示出更严重的进展。这表明，与未受过损伤的眼睛相比，有视野缺损的眼睛在相似眼压水平下可能更容易出现视野改变进展。此外，单侧视野缺损患者未受损对侧眼出现视野缺损的发生率高于双侧高眼压患者。
