Normal-Tension Glaucoma
Normal-Tension Glaucoma
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DOI：
10.1007/978-1-4614-4172-4_13
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
B. Prum
中科院分区：
文献类型：
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作者：
B. Prum
在这一章，历史定义和正常眼压性青光眼（NTG）及其流行病学的理解进行了审查。概述了眼压相关和视神经相关的NTG的危险因素。椎间盘和视野损害的模式和进展看到NTG进行了讨论，与许多临床例子。本文对NTG视盘损害及视乳头周围萎缩的意义进行了探讨。众所周知的全身性危险因素，如偏头痛，和新发现的危险因素，如阻塞性睡眠呼吸暂停NTG的关系的证据。概述了NTG的适当诊断评价。目前的指南和替代药物，激光（氩和二极管LTP和激光），手术降眼压治疗NTG进行了讨论。总结了非降眼压治疗价值的证据，如NTG中使用钙通道阻滞剂。
In this well-illustrated chapter, the historical definition and understanding of normal-tension glaucoma (NTG) and its epidemiology are reviewed. An overview of the IOP-related and optic-nerve-related risk factors for NTG is presented. Patterns of disc and visual field damage and progression seen in NTG are discussed, with many clinical examples presented. The significance of optic disc hemorrhages and peripapillary atrophy in NTG is explored. The evidence for the relationship of well-known systemic risk factors, such as migraine, and newly identified risk factors, such as obstructive sleep apnea to NTG, is presented. The appropriate diagnostic evaluation for NTG is outlined. Current guidelines and alternatives for medical, laser (argon and diode LTP and SLT), and surgical IOP-lowering therapy in NTG are discussed. Evidence for the value of non-IOP-lowering therapies, such as the use of calcium channel blockers in NTG, is summarized.