高度近视合并青光眼的临床诊断研究进展  

Study progress in clinical diagnosis of high myopia with glaucoma

作　　者：于洋[1] 蒋沁[1] 曹国凡[1] Yang Yu;Qin Jiang;Guo-Fan Cao(The Affiliated Eye Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu Province, China)

机构地区：[1]南京医科大学附属眼科医院,中国江苏省南京市210029

出　　处：《国际眼科杂志》2021年第6期1008-1011,共4页International Eye Science

基　　金：国家自然科学基金项目(No.81870679)。

摘　　要：众多研究表明高度近视是青光眼性视神经病变的高危因素。然而,由于高度近视本身会引起视网膜和视神经纤维层损伤,所以青光眼相关的结构和功能改变可能会被高度近视掩盖。为了在高度近视患者中早期识别出青光眼性改变,减少漏诊或误诊的可能性,深入了解高度近视合并青光眼的临床特征是非常必要的。本文概括了经典的结构和功能检查在诊断高度近视合并青光眼中的作用以及存在的困难,并针对这一诊断难题提供一些可能的解决措施。Numerous studies have indicated that high myopiais associated with a higher risk for glaucomatous optic neuropathy.However,structural and functional changes induced by glaucoma can be confounded by high myopia because the latter itself can cause a series of retinal and nerve fiber layer damage.In order to find glaucomatous changes in high myopia and reduce the potential of missed diagnosis or misdiagnosis,a deep understanding of clinical features of high myopia with glaucoma was needed.This artical summarizes the functional roles and potential difficulties of classical stuctural and functional investigations in diagnosis of high myopia with glaucoma.This review is also introduced some possible solutions to navigate this diagnostic dilemma.

关 键 词：高度近视 青光眼 光学相干断层扫描 视盘 眼压 

分 类 号：R73[医药卫生—肿瘤]