青光眼结构与功能的相关性分析.pdfVIP

摘 要 目的：研究青光眼结构和功能的相关性 方法：1．用OCT及标准自动视野计测量开角型青光眼患者27人49眼的 准自动视野计测量开角型青光眼患者21人34眼视盘的视网膜神经纤维 层厚度及视野。将代表视网膜神经纤维层厚度的盘沿一周分为 盘比(LCDR)与视野缺损的相关性最大。2．青光眼的视野缺损多首先 发生于上下方的旁中心区，即出现弓形暗点；盘沿的丢失多发生于上下 极。一侧视野的缺损，则对应相对侧的神经纤维的损害。 结论：青光眼的结构和功能具有明显的相关性。这一结论对青光眼的临 床早期诊断具有重大意义。 关键词：青光眼：视野：视盘参数；视网膜神经纤维层：相关性 Abstract andfunctionin To the betweenstructure objectiveinvestigaterelationship glaucoma． Methods1．49 examinedwithOCT eyes(27patients)were glaucomatous andSAP．Wecould of as disc，such getparamtersoptic fieldsuch and ofvisual DA，CA，RA，CV,RV,CDtLLCDR,DV,DHparameter MD．To the betweenofthem． as investigaterelationship 2．34 1 examinedwithOCTandSAP．The glaucomatouseyes(2patients)were 12 thevisualfieldWasdividedinto21 totalrimwasdividedintosectors，and zones．To the betweenthesectorsandzones． investigaterelationship Results hadthemostclose withMD． 1．CDR,CA，LCDR relationship fieldoccurredat field．The of 2．The defectofvisual damage early paracentral fielddefect rim withtheinferiorand visual began superior．The always causedthe ofRNFLinthe hemiretina．