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
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
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
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
治疗流程
眼压升高和/或视力、视网膜改变
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.
鉴别诊断
- 正常/低眼压性青光眼
- 闭角型青光眼
- 高度近视
更多 鉴别诊断指南
- 原发性开角型青光眼
- 开角型青光眼的小梁支架转流显微手术
更多 指南患者教育信息
Glaucoma
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