摘要
眼压升高是青光眼视神经损害发生、发展的主要危险因素，降低眼压是青光眼治疗最主要的手段。由于眼压的大幅波动可能会加速青光眼病程的进展，因此眼压监测已成为诊断青光眼的重要辅助检查。眼压监测能够为临床提供平均眼压、眼压峰值及眼压波动等多项信息。鉴于不同历史时期对眼压监测的技术手段和认识水平的不同，眼压监测方法也经历了逐渐完善的过程，由日间眼压、传统昼夜眼压、习惯体位眼压监测到最终实现24h眼压的连续监测。眼压测量的影响因素，如眼压计、体位、光线等目前被更多的考虑在眼压测量之中。本文主要就眼压监测的方法、影响因素及其在青光眼诊疗中的作用等方面的研究进展予以综述。
Elevation of intraoeular pressure （IOP） is a major risk factor for the development and the progression in glaucoma optic nerve damage. The reduction of IOP remains mainstream strategy of glaucoma therapy. A large fluctuation of IOP in the circadian rhythm may play a role in the optic nerve damage in glaucoma progression. IOP monitoring provides important information of IOP mean, peak and fluctuation to assist the diagnosis and treatment of glaucoma. With the development of technology, the commonly used methods of IOP monitoring including IOP measurement for diurnal, 24 hours, and habitual body position have evolved to continuous IOP-monitoring using novel device. The influencing factors including tonometer, body position and the light have been taken into account for the reliability of IOP measurement. In this review, we summarized the recent progress in IOP monitoring and the factors affecting the IOP measurements and discussed immense opportunity of IOP-monitoring to better diagnose and to treat for glaucoma.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2013年第9期851-856,共6页
Chinese Journal of Ophthalmology
关键词
青光眼
眼压监测
眼压波动
昼夜节律
体位变化
Glaucoma
Intraocular pressure monitoring
Intraocular pressure fluctuation
Circadian rhythm
Postural changes
