临床诊治开角型青光眼是否需要监测眼压波动

摘要

高眼压是青光眼患者视神经病变产生和进展的危险因素.近年来眼压波动与开角型青光眼的关系日渐被学科界重视,关注的焦点是眼压波动是否为青光眼进展的危险因素,临床医师除了监测青光眼患者的眼压值外,是否也需要常规监测眼压波动？由于眼压波动的监测工作有一定难度,目前尚未在临床广泛开展.作为青光眼专科医师,如何在诊治青光眼的繁忙过程中考虑到眼压波动对病情进展的影响,如何尽可能选择减少眼压波动的有效治疗方案,这已成为目前多数研究者普遍关注的焦点问题.因此有必要就开角型青光眼的眼压波动规律及其对青光眼病情进展的影响、有效监测眼压波动的简便易行方法、青光眼治疗方案与眼压波动的关系等问题与眼科同道共同探讨.%Higher intraocular pressure (IOP) is a risk factor for the development and progression of glaucomatous neuropathy.Increasing attention has been brought to IOP fluctuation in patients with primary open angle glaucoma (POAG) in recent years.IOP fluctuations include short-term (24-hour IOP fluctuations) and long-term fluctuations,which may contribute to the progression of glaucoma.It is a big challenge for ophthalmologists in their busy daily clinical practice to deal with IOP fluctuation in patients with POAG.In this paper,the research progress in IOP fluctuation of POAG and its relationship with glaucomatous neuropathy was reviewed.Furthermore,how to monitor by useful measures and manage IOP fluctuation by effective medication were discussed.