Glaucoma history and risk factors.
Glaucoma history and risk factors.
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DOI：
10.1016/j.optom.2016.02.003
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发表时间：
2017-04
影响因子：
2.3
通讯作者：
McMonnies CW
中科院分区：
文献类型：
--
作者：
McMonnies CW
除了发展成青光眼的风险之外，还存在未被检测到和不可逆的视力丧失的风险。青光眼诊断方法的一些研究已经检查了基于仪器的检查的结果，在达到诊断时，即使不是完全依赖于客观结果，也是非常依赖于客观结果。青光眼检测仪器技术的非常有价值的进步，以及对它们的依赖性明显增加，可能导致在这些研究中减少了对患者病史中可用信息的考虑。对青光眼病理学客观证据的依赖可能会降低检测到疑似青光眼或有成为疑似青光眼风险的患者的可能性。一个有效的阳性青光眼家族史是非常有价值的信息。然而，由于大量青光眼病例未被诊断，阴性家族史往往是不可靠的。没有家族史的证据比没有家族史更合适。此外，当青光眼患者未能告知其家庭成员时，阴性家族史的不可靠性增加。没有家族史的结果只能说是没有已知的家族史。在检查患者病史的潜在诊断贡献时，本综述考虑了年龄、虚弱、种族、屈光不正的类型和程度、全身性高血压和低血压、血管痉挛、偏头痛、色素分散综合征、假性剥脱综合征、阻塞性睡眠呼吸暂停综合征、糖尿病、药物相互作用和副作用、眼内压和颅内压升高和波动的暴露程度、吸烟、除了遗传和家族病史之外，
Apart from the risk of developing glaucoma there is also the risk that it is not detected and irreversible loss of vision ensues. Some studies of methods of glaucoma diagnosis have examined the results of instrument-based examinations with great if not complete reliance on objective findings in arriving at a diagnosis. The very valuable advances in glaucoma detection instrument technologies, and apparent increasing dependence on them, may have led to reduced consideration of information available from a patient history in those studies. Dependence on objective evidence of glaucomatous pathology may reduce the possibility of detecting glaucoma suspects or patients at risk for becoming glaucoma suspects. A valid positive family history of glaucoma is very valuable information. However, negative family histories can often be unreliable due to large numbers of glaucoma cases being undiagnosed. No evidence of family history is appropriate rather than no family history. In addition the unreliability of a negative family history is increased when patients with glaucoma fail to inform their family members. A finding of no family history can only be stated as no known family history. In examining the potential diagnostic contribution from a patient history, this review considers, age, frailty, race, type and degree of refractive error, systemic hyper- and hypotension, vasospasm, migraine, pigmentary dispersion syndrome, pseudoexfoliation syndrome, obstructive sleep apnea syndrome, diabetes, medication interactions and side effects, the degree of exposure to intraocular and intracranial pressure elevations and fluctuations, smoking, and symptoms in addition to genetics and family history of the disease.