眼壓日差在青光眼之診斷與治療－回顧分析

Intraocular Pressure Diurnal Variation in the Diagnsois and Management of Glaucoma: A Retrospective Analysis

鄧美琴(Mei-Ching Teng) ； 許慶堂(Ching-Tarng Hsu) ； 李培飛(Pei-Fei Lee)

《中華民國眼科醫學會會刊》 24卷1期 (1985/05) Pp. 276-282

https://doi.org/10.30048/ACTASOS.198505.0049

摘要

原發性隅角開放性青光眼158例，疑似青光眼119例，分別於上午7點鐘、11點鐘、下午5點鐘、11點鐘，測量眼壓日差，並加以回顧分析。A：高眼壓症眼壓波動在5mmHg以上者，將有84% (16/19)，低眼壓性青光眼將有82% (14/17)，視乳頭異常者將有58% (11/19)，最後診斷為青光眼；若取眼壓波動在20%以上，高眼壓症有80% (16/20)，低眼壓性青光眼有79% (22/28)，視乳頭異常者有33% (15/46)，最後診斷為青光眼。B：根據眼壓日差反應隅角開放性青光眼之治療效果是最直接且簡便的方法。

並列摘要

Diurnal intraocular pressures of 88 patients (158 eyes) with primary open angle glaucoma and 62 patients (119 eyes) suspected of having glaucoma were measured with a Goldmann applanation tonometer at 7:00 a.m., 11:00 a.m., 5:00 p.m. and 11:00 p.m. Diurnal intraocular pressure can help in the diagnosis of glaucoma suspect. It reveals the spontaneous peak tention and abnormal fluctuation of intraocular pressure. In the present series, in 84% of ocular hypertention, 82% of low tention glaucoma, and 58% of asymetric &/or enlarged C/D ratio with fluctuated tention the diurnal variation exceeded 5mmHg, thus confirming the final diagnosis; 80% of ocular hypertention, 79% of low tention glaucoma, 33% of asymetric &/or enlarged C/D ratio with fluctuated tention exceeded 20% thus confirming the final diagnosis.

並列關鍵字

diurnal variation ； rhythm ； fluctuation ； stability