The mode of progressive disc cupping in ocular hypertension and glaucoma.
The mode of progressive disc cupping in ocular hypertension and glaucoma.
复制标题
渐进式椎间盘拔罐治疗高眼压症和青光眼的模式。
DOI：
10.1001/archopht.1980.01020030486010
复制
发表时间：
1980
影响因子：
--
通讯作者：
D. Anderson
中科院分区：
文献类型：
--
作者：
J. Pederson;D. Anderson
对 259 名眼压升高患者的连续椎间盘照片进行了长达 15 年的回顾性研究。二十九只眼睛的视杯逐渐增大。早期杯罩的垂直延伸发生在垂直延伸的有5眼，水平延伸的有1眼。在 23 只眼睛中，观察到的第一个变化是视杯普遍扩张（保持其圆形外观），通常先于视野丧失数年。因此，连续的椎间盘照片对于尽早发现高眼压症的视神经损伤是必要的。在首次发现拔罐进展时视野正常的 18 只眼睛中，在随访 1 至 6 年（平均两年）期间，50% 的人出现典型青光眼视野丧失。因此，即使没有视野缺陷，也需要对表现出进行性椎间盘拔罐的眼睛进行治疗。
Serial disc photographs of 259 patients with elevated intraocular pressures were studied retrospectively up to 15 years. Twenty-nine eyes showed progressive enlargement of the optic cup. Early vertical extension of the cup occurred in vertical extension of the cup occurred in five eyes and horizontal extension in one. In 23 eyes, a generalized expansion of the cup (retaining its round appearance) was the first change observed, typically preceding visual field loss by several years. Thus, serial disc photographs are necessary for the earliest detection of optic nerve damage in ocular hypertension. Of 18 eyes with normal visual fields at the time progression of cupping was first noted, typical glaucomatous field loss developed in 50% during a follow-up of one to six years (average, two years). Therefore, treatment is indicated for eyes exhibiting progressive disc cupping, even in the absence of visual field defects.