正常眼压型青光眼与高眼压型原发性开角型青光眼是否为同一类型疾病
Is normal-tension glaucoma different from primary open-angle glaucoma
摘要基于临床考虑,在《我国原发性青光眼诊断和治疗专家共识》中,将正常眼压型青光眼与高眼压型原发性开角型青光眼同归类为原发性开角型青光眼,归属于一类疾病的两个亚型,分界点在于眼压是在正常范围还是高于21 mm Hg(1 mm Hg=0.133 kPa)。但是正常眼压型青光眼与高眼压型原发性开角型青光眼是否应属同一类型疾病,眼科界争议已久,迄今尚无定论。已有多项研究结果显示两者的发病机制、临床特征、进展危险因素及治疗方法均有差异。因此,提出将NTG从POAG类型中分离出来的观点,以利于今后制定个体化的治疗和随诊方案,希望能与同行探讨。
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abstractsBased on the clinical consideration, Chinese glaucoma specialist reached a consensus (2008) that normal-tension glaucoma (NTG) is a subtype of primary open-angle glaucoma (POAG), and the dividing line is whether the intraocular pressure (IOP) more than 21 mm Hg or not. But it is still a controversial problem in the world that whether NTG is different from POAG or not. Some studies have confirmed that the pathogenesis of optic neuropathy, clinical features, risk factors for glaucomatous optic neuropathy progression and treatment strategy in NTG are different from those of POAG, indicating that they may be two different disorders.
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