开角型青光眼

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最后审阅： 26 八月 2022
最后更新： 03 十月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 杯盘比>0.4
  • 视神经杯切迹
  • 周边视力缺损
  • 眼压升高
  • 暗点
  • 视网膜神经纤维层丢失
  • 视网膜出血
更多 关键诊断因素

危险因素

  • 眼压>23mmHg
  • 年龄＞50 岁
  • 青光眼家族史
  • 黑人
  • 近视
  • 糖尿病
  • 高血压
更多 危险因素
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诊断性检查

首要检查

  • 眼压测量
  • 直接检眼镜检查
  • 间接检眼镜检查
  • 裂隙灯生物显微镜检查
  • 视野检测
更多 首要检查

需考虑的检查

  • 前房角镜检查
  • 视盘照相
  • 超声角膜测厚
  • 视网膜神经纤维层分析
  • 光学相干断层扫描
更多 需考虑的检查
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治疗流程

急症处理

眼压升高和/或视力、视网膜改变

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撰稿人

作者

Nishani Amerasinghe, MBBS, BSc(Hons), FRCOphth

Consultant Ophthalmic Surgeon

Glaucoma Specialist

University Hospital Southampton NHS Trust

Southampton

UK

利益声明

NA has received travel honoraria and speaker's fees from Thea Pharmaceuticals and Allergan. She is also a principal investigator on an Aerie Pharmaceuticals study.

鸣谢

Dr Nishani Amerasinghe would like to gratefully acknowledge Dr Robert B. Avery and Dr Michael N. Wiggins, the previous contributors to this monograph. RBA and MNW declare that they have no competing interests.

同行评议者

Richard A. Harper, MD

Associate Professor of Ophthalmology

Department of Ophthalmology

Jones Eye Institute

University of Arkansas for Medical Sciences

Little Rock

AR

利益声明

RAH declares that he has no competing interests.

Roshini Sanders, FRCS, FRCOphth

Consultant Ophthalmologist

Queen Margaret Hospital

Dunfermline

Fife

UK

利益声明

RS declares that she has no competing interests.

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