视野前青光眼的不同改变及诊断研究进展  

Reserach progress on different changes and dignosis of preperimetric glaucoma

作　　者：冯虹[1] 卢艳[1] 

机构地区：[1]首都医科大学宣武医院眼科,北京市100053

出　　处：《眼科新进展》2013年第11期1097-1100,共4页Recent Advances in Ophthalmology

摘　　要：原发性青光眼是工业化社会中一个最普遍的不可逆性致盲的原因,它以伴随着视神经的神经节细胞与轴突退行性改变为特征。标准自动视野计的出现为青光眼的诊断提供了很大程度上的帮助,但同时也存在一定的缺陷。如何在视野改变之前发现青光眼的存在已成为当今研究的新热点。视野前青光眼的诊断有利于患者早期发现、早期治疗,延缓疾病的发展。本文从视野前青光眼患者的视觉皮层、眼部血流改变、视盘及视功能的发病机制进行阐述,同时联系相关检查对视野前青光眼的诊断进行综述及展望。Primary glaucoma is one of the most common reason of irreversible blindness in the industrialized society, which is characterized by degenerative changes of ganglion cells and axons. The emergence of standard automated perimetry provide help to a large extent, but have some drawbacks at the same time. How to fmd the presence of glaucoma before visual field changes has become the recent hot spot. The dignosis of preperimetric glaucoma is beneficial to early dignosis and treatment for patients, dela- ying the development of the disease. This article reviews the pathogenesis of the visual cortex, ocular blood flow change, papillary and visual function. Rescent advances and reviews on dignosis of preperimetric glaucoma are also explored.

关 键 词：视野前青光眼 神经节细胞 视神经纤维 初级视皮层 

分 类 号：R775.2[医药卫生—眼科]