大人 の 中 の グラウコマ - 検診,診断,治療: レビュー
Joshua D Stein1,2,3, Anthony P Khawaja4, Jennifer S Weizer1
1W.K. Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.
JAMA
|January 12, 2021
まとめ
主治医は,緑内障のリスクのある患者を特定することで,不可逆的な失明を防ぐことができます. 早期の眼科検査と 眼内圧上昇などの危険因子のモニタリングは 早期の診断と治療に不可欠です
科学分野:
- 眼科について
- 公衆衛生
背景:
- グラウコマは 世界的に不可逆的な失明の主な原因で 初期段階では症状が表れません
- 視神経と網膜神経の繊維層の損傷による視力喪失を引き起こす進行性視神経病です.
研究 の 目的:
- グラウコマの危険因子,スクリーニング,紹介基準について,主治医に知らせる.
- 病理生理学,危険因子,スクリーニング,モニタリング,および開角性および狭角性緑内障の治療をレビューする.
主な方法:
- 緑内障の病理生理学,リスク要因,診断方法のレビュー
- 薬剤,レーザー,外科手術を含む治療方法の議論
主要な成果:
- 眼内圧の上昇は,緑内障の主要な変化可能な危険因子です.
- リスク要因には,高齢者,非白人人種,家族歴,および特定の全身疾患/薬 (例えば,コルチコステロイド) が含まれる.
- 診断ツールには,眼内圧測定,周回測定,光学コヒーレンストモグラフィーが含まれます.
結論:
- 緑内障 の 早期 発見 と 治療 は,視力 喪失 を 最小 に する こと が でき ます.
- 主治医は リスクのある患者を特定し 治療の順守を保証する上で 重要な役割を果たします
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