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在过去的15年中,对青光眼的治疗已发生了重大的改进,一向被认为可确诊青光眼的技术,目前看来似乎易于发生错误。因此对青光眼诊断标准进行重新评价以及对青光眼早期阶段损害的认识是非常重要的。作者研究了多年的高眼压而未经治疗的一些眼。这些眼在随诊研究开始时,用Goldmann视野计检查几乎没有视野缺损。研究结果发现,尽管没有给予治疗,也未发生视野缺损。(在这些患者中,每年仅有的1%的人视野不正常)。因此设想,在一旦发生损害时,就能在早期可靠地检测出这种损害,并通过治疗阻止其进展,那么就可以在
Glaucoma has undergone major improvements in the treatment of glaucoma over the past 15 years, and the technique that has long been considered diagnosed with glaucoma appears to be prone to error now. Therefore, the diagnostic criteria for glaucoma re-evaluation and early stage of glaucoma awareness of damage is very important. The author studied many years of high intraocular pressure without treatment of some eyes. At the beginning of the follow-up study, these eyes examined for almost no visual field defects using the Goldmann field. The study found no visual field loss despite treatment. (In these patients, only 1% of people have an abnormal visual field each year.) It is therefore assumed that, once damage has occurred, such damage can be reliably detected early and stopped by treatment to prevent it from progressing