国际眼科纵览 ›› 2014, Vol. 38 ›› Issue (4): 217-221.doi: 103706/ cma.j.issn.16735803201404001

• 综述 •    下一篇

跨筛板压力差与青光眼发病机制的关系

周紫霞  李金瑛   

  1. 518036 深圳,北京大学深圳医院眼科
  • 收稿日期:2014-03-13 出版日期:2014-08-22 发布日期:2014-09-02
  • 通讯作者: 周紫霞,Email:zhouzixia2012@163.com E-mail:zhouzixia2012@163.com

Trans-lamina cribrosa pressure difference and glaucoma

ZHOU Zi-xia, LI Jin-ying   

  1. Department of Ophthalmology, Shenzhen Hospital Peking University, Shenzhen 518036, China
  • Received:2014-03-13 Online:2014-08-22 Published:2014-09-02
  • Contact: ZHOU Zixia, Emai: zhouzixia2012@163.com E-mail:zhouzixia2012@163.com

摘要: 原发性开角型青光眼及正常眼压青光眼患者脑脊液压力较正常人低,而高眼压症患者脑脊液压力较正常人高。跨筛板压力差增大可能导致青光眼损害,脑脊液压力升高是青光眼的保护因素。跨筛板压力差增大导致筛板向后弯曲变形变薄,视盘凹陷加深,杯盘比增大,导致青光眼病变发生发展。本文就跨筛板压力差的概念、测量方法、影响因素及其与青光眼的关系等方面综述。

Abstract: Comparing with normal subjects, the cerebrospinal fluid pressure is lower in patients with primary open angle glaucoma and normal tension glaucoma, but higher in ocular hypertension. The high translamina cribrosa pressure difference may lead to glaucomatous damage. The abnormally high cerebrospinal fluid pressure is a protective factor in glaucoma. The elevated translamina cribrosa pressure difference  leads to the lamina cribrosa bending backward and thinning, optic cup deepening, C/D enlarging, may play a role in the pathogenesis and development of glaucoma. In this  literature review, the conception, measurement method, influence factors of translamina cribrosa pressure difference and its relationship with glaucoma were summarized.