BEDFORD GLAUCOMA SURVEY
BEDFORD GLAUCOMA SURVEY
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DOI：
10.1136/bmj.1.5595.791
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发表时间：
1968-01-01
影响因子：
--
通讯作者：
WRIGHT, JE
中科院分区：
文献类型：
--
作者：
BANKES, JLK;PERKINS, ES;WRIGHT, JE
方法该调查是在地方当局卫生部门的主持下进行的，在进行了初步宣传运动后，向公众分发了要求预约检查的卡片。预约只提供给40岁以上的人，尽管有66名40岁以下的人参加并接受了筛查。在检查诊所登记时，秘书除了记录姓名、地址、年龄和性别外，还记录了是否有青光眼家族史和一天中的时间，如果是女性，还记录了最后一次月经的时间。表面麻醉采用0.5%诺维辛（盐酸奥布鲁卡因），外加0.5%荧光素钠1滴。首先用Goldmann眼压计测量右眼和左眼的眼压，记录每只眼睛三次读数的平均值。然后由眼科医生对患者进行检查，医生会记录患者的眼部病史和家族史，询问患者是否有眼晕或短暂性视力模糊的病史，并进行外部检查和眼科检查。要求患者返回评估诊所进行进一步检查的标准是：(1)屈平读数为21 mm。Hg或以上，(2)相差5mm。两眼间汞柱，(3)可疑的椎间盘，(4)光晕或视力模糊发作史，(5)青光眼家族史。检查结果正常的患者出院。那些除了青光眼以外有眼部异常需要治疗的患者，会向他们的家庭医生提交一份报告。
Method The survey was held under the auspices of the local authority health department, and after a preliminary publicity campaign cards requesting an appointment for the tests were distributed to the general public. Appointments were offered only to those over the age of 40, though 66 people under 40 attended and were screened. On registration at the screening clinic the secretary recorded, in addition to the name, address, age, and sex, whether there was a family history of glaucoma, and the time of day, In the case of women a note was also made of the time of the last menstrual period. Novesine (oxybuprocaine hydrochloride) 0.5% was used for topical anaesthesia followed by one drop of 0.5% sodium fluorescein. The ocular tension was measured first in the right and then in the left eye with the Goldmann applanation tonometer, recording the mean of three readings for each eye. The patients were then seen by the ophthalmologist, who took a brief ocular and family history, always inquiring for a history of haloes or-transient blurring of vision, and carried out an externalexamination and ophthalmoscopy. The criteria used for asking the patient to return to the assessment clinic for further tests were:(1) applanation reading of 21 mm. Hg or above,(2) differenceof 5 mm. Hg between the two eyes,(3) suspicious discs,(4) history of haloes or attacks of blurred vision, and (5) family history of glaucoma. Patients in whom the findings were normal were discharged. Those found to have ocular abnormalities other than glaucoma that required treatment were referred with a report to their family doctor.