疑似正常眼壓青光眼患者的全日性眼壓差異

Diurnal Variation of Intraocular Pressure in the Normal Tension Glaucoma Suspects

黃敏生(Min-Sheng Huang) ； 陳韻如(Yunn-Ru Chen)

《中華民國眼科醫學會雜誌》 32卷4期 (1993/12) Pp. 479-483

https://doi.org/10.30048/ACTASOS.199312.0014

摘要

自1991年6月至1993年7月有11位患者在門診診斷為疑似正常眼壓青光眼，其中接受全日性眼壓測量者有8名，男女比為2:6，年齡自58歲至74歲不等平約為66.5歲。經住院每兩小時分別測量其平躺及坐姿的血壓和眼壓，其中有4位患者因其最高眼壓大於21毫米汞柱而歸類於單純隅角開放性青光眼，而另4位則證實為正常眼壓青光眼。兩組患者的最高眼壓均發生在早上5點至7點；而兩組患者最高與最低的眼壓差距在單純隅角開放性青光眼組為12.3±0.3毫米汞柱，在正常眼壓青光眼組為7.0±1.4毫米汞柱。姿勢的改變對眼壓的影響，在平躺時的眼壓比坐姿時的眼壓稍高。
全日性眼壓的測量對於疑似正常眼壓青光眼的患者可以提供我們做為診斷與治療的依據。

並列摘要

From June 1992 to July 1993 there were 11 cases diagnosed as normal tension glaucoma suspect, only 8 cases received diurnal intraocular pressure measurement on admission. Blood pressure and intraocular pressure were measured every 2 hours on supine and sitting position. Intraocular pressure (IOP) was over 21 mmHg in 4 cases and were included to primary open angle glaucoma (POAG), the other 4 cases were proved as normal tension glaucoma (NTG). The highest IOP were noted at 5 to 7 O'clock Am in both group, the fluctuation range in POAG and NTG group were 12.3±0.3 mmHg and 7.0±1.4 mmHg respectively. In posture change the IOP were higher on supine position than on sitting position.
The diurnal IOP measurement may provide supportive evidence for the diagnosis and mangement to the normal tension glaucoma suspects in OPD.

並列關鍵字

Normal Tension Glaucoma ； Low Tension Glaucoma ； Primary Open Angle Glaucoma ； Diurnal Variation of Intraocular Pressure