[Zhonghua yan ke za zhi] Chinese journal of ophthalmology · 2002
[A clinical analysis of high myopia with primary open-angle glaucoma].
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Fu Pei, Liu Lina, Li Meiyu, Yuan You, Cui Yongri
Аннотация
OBJECTIVE: To approach the bases of early diagnosis of high myopia (HM) combined with primary open-angle glaucoma (POAG).
METHODS: (1) There were 3 groups of POAG: group A with HM (40 eyes of 21 cases), group B with medium myopia (40 eyes of 21 cases) and group C with low myopia (42 eyes of 21 cases). Their visual field defect, retinal nerve fiber layer defect (RNFLD), the maximum intraocular pressure and corrected visual acuity were compared. (2) The stereo-photos of the HM-POAG were observed directly, and their clinical characteristics were analyzed.
RESULTS: (1) On the initial visit, the patients of group A obviously suffered more serious visual field defects and RNFLD, and the corrected visual acuity was lower than that of the two other groups. (2) The specific fundus changes at the papilla and its surrounding retina of the HM patients interfered with the early detection of glaucoma. The dilatation of pupil to examine the fundus and the use of stereo-photos were the main measures to elevate the detectable rate of glaucoma.
CONCLUSION: Recognizing the early clinical characteristics of HM itself combined with that of POAG may help us to improve the proficiency of HM-POAG early detection.
METHODS: (1) There were 3 groups of POAG: group A with HM (40 eyes of 21 cases), group B with medium myopia (40 eyes of 21 cases) and group C with low myopia (42 eyes of 21 cases). Their visual field defect, retinal nerve fiber layer defect (RNFLD), the maximum intraocular pressure and corrected visual acuity were compared. (2) The stereo-photos of the HM-POAG were observed directly, and their clinical characteristics were analyzed.
RESULTS: (1) On the initial visit, the patients of group A obviously suffered more serious visual field defects and RNFLD, and the corrected visual acuity was lower than that of the two other groups. (2) The specific fundus changes at the papilla and its surrounding retina of the HM patients interfered with the early detection of glaucoma. The dilatation of pupil to examine the fundus and the use of stereo-photos were the main measures to elevate the detectable rate of glaucoma.
CONCLUSION: Recognizing the early clinical characteristics of HM itself combined with that of POAG may help us to improve the proficiency of HM-POAG early detection.