摘要
随着社会发展和人口老龄化进程的加速,青光眼患病率也逐年升高,作为全球范围内主要的不可逆性致盲眼病,青光眼严重影响患者的生活质量,明显增大了我国公共卫生负担,因此加强青光眼的防治将是我国公共卫生体系的重要任务。欧洲青光眼协会(EGS)制定的《欧洲青光眼指南》(Terminology and Guidelines for Glaucoma)是全球公认的青光眼诊疗指南文件,自制定以来已依据对青光眼发病机制研究的进展和循证医疗实践经过多次修订。2020年EGS在2014年发布的Terminology and Guidelines for Glaucoma(4th Edition)基础上出版了Terminology and Guidelines for Glaucoma(5th Edition)(简称新版指南),提出了青光眼诊疗中出现的关键问题和需要规避的问题,对一些既往关于青光眼的诊治认识和观点进行了更新,为青光眼的精准诊断和治疗提出了指导意见,包括不建议在青光眼诊断及随访过程中采用中央角膜厚度对眼压进行校正、在闭角型青光眼诊断中房角成像设备不能取代房角镜检查、光相干断层扫描在青光眼诊疗中的作用、闭角型青光眼的手术及药物治疗建议等,对规范临床医生在青光眼的诊断和治疗中的医疗决策具有很好的参考价值。本文主要对新版指南中修订的新概念进行解读。
With the accelerated development of aging society,the incidence of glaucoma is increasing in recent years.Glaucoma is a primary cause of irreversible blindness worldwide and affects the visual and life quality of patients,which will bring great burden to the prevention and control of blindness in China.Terminology and Guidelines for Glaucoma formulated by European Glaucoma Society(EGS)is a classic document of Glaucoma guidelines.Recently,EGS released the Terminology and Guidelines for Glaucoma(5th edition),which put forward some updated concepts of diagnosis and therapy of glaucoma,primarily in several renewed key issues and the problems to be avoided in clinical practice.In the document,central corneal thickness is not recommended to correct intraocular pressure during the diagnosis and follow-up of glaucoma,and gonio-imaging devices do not replace gonioscopy in the diagnosis of angle-closure glaucoma,and optical coherence tomogranphy should not be used as the sole indicator in the early evaluation and dynamic monitoring of glaucoma.In addition,some available suggestions about anti-glaucoma drugs and surgeries are recommended for the managements of glaucomatous patients.The updated recommendations in the Terminology and Guidelines for Glaucoma(5th edition)are enunciated in this paper.
作者
陈君毅
孙兴怀
Chen Junyi;Sun Xinghuai(Department of Ophthalmology,Eye&ENT Hospital of Fudan University,Shanghai 200031,China)
出处
《中华实验眼科杂志》
CAS
CSCD
北大核心
2021年第10期906-909,共4页
Chinese Journal Of Experimental Ophthalmology
关键词
欧洲青光眼协会
青光眼
指南解读
European Glaucoma Society
Glaucoma
Guidelines interpretation
