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慢性青光眼的早期发现仍然是眼科临床的一个主要问题。虽然眼压升高是青光眼的典型体征,但也有一些患者尽管眼压超过通常范围(21mmHg),却没有功能障碍。这些病人被称为高眼压,其中一些人将发展成为青光眼,而另一些人则在临床上保持正常。如果等到发生视野缺损或视乳头病理凹陷之后再作出明确的青光眼诊断,疾病已经发展到晚期。Quigley等的研究显示,视神经纤维丧失40%,用Goldmann视野计检查视野可以完全正常。
Early detection of chronic glaucoma is still a major problem in ophthalmology. Although elevated intraocular pressure is a classic sign of glaucoma, there are some patients who have no dysfunction despite their intraocular pressure exceeding the usual range (21 mmHg). These patients are called elevated intraocular pressure, some of whom develop glaucoma, while others are clinically normal. If you wait until the visual field defect or optic disc pathology and then make a clear diagnosis of glaucoma, the disease has advanced to advanced stage. Research by Quigley et al. Shows that 40% of the optic nerve fibers are lost and the field of view can be completely normal with the Goldmann field.