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高度近视是一种复杂的眼病,其眼底改变与原发性开角型青光眼(POAG)有相似之处。重视高度近视合并POAG的早期诊断,避免或降低误诊、漏诊率,首先应重视对二者视盘改变相似性与差异性的了解。现代眼底检查设备先进,但有其局限性,其更主要的目的是为随诊建立量化标准。视野分析要结合眼底情况,排除高度近视的影响因素,并注意初检者的学习曲线及视野的短期、长期波动特点。门诊常规项目的检查不可忽视,不能用设备代替临床经验以及医生的综合分析能力。(眼科, 2007,16:17-19)
High myopia is a complex eye disease whose fundus changes are similar to primary open-angle glaucoma (POAG). Emphasis on high myopia with POAG early diagnosis, to avoid or reduce the misdiagnosis, misdiagnosis rate, we should first pay attention to the two optic disc change the similarity and diversity of understanding. Modern fundus examination equipment is advanced, but has its limitations, its more important purpose is to establish a quantitative standard for follow-up. Visual field analysis should be combined with the fundus, exclude the impact of high myopia factors, and pay attention to the initial examination of the learning curve and visual characteristics of short-term, long-term fluctuations. Outpatient routine examination can not be ignored, can not replace the clinical experience with equipment and the doctor’s comprehensive analysis capabilities. (Ophthalmology, 2007, 16: 17-19)