眼科

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目前国内青光眼诊断中存在的问题

李建军  王亚星   

  1. 100005首都医科大学附属北京同仁医院 北京同仁眼科中心  北京市眼科研究所 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2018-12-12 出版日期:2019-01-25 发布日期:2019-01-29
  • 通讯作者: 李建军,Email:jianjunli2005@163.com

Problems in the diagnosis of glaucoma in China 

LI Jian-jun, WANG Ya-xing.   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center Beijing Tongren Hospital, Capital Medical University; Beijing  Key Laboratory of Ophthalmology & Visual Science, Beijing 100005, China.
  • Received:2018-12-12 Online:2019-01-25 Published:2019-01-29
  • Contact: LI Jian-jun, Email: jianjunli2005@163.com

摘要:

原发性青光眼的早期诊断是防治青光眼盲的重要环节。目前国内青光眼诊断中存在的主要问题是对眼底照相在青光眼诊断中的价值重视不够、眼底照相的总体质量有待提高、错误理解或过度依赖OCT及视野结果进行青光眼诊断、非青光眼专业医师对青光眼视神经改变认知不足、医疗单位普遍缺少眼科PACS系统等。这些问题可通过加强青光眼诊断知识学习及眼底照相技能培训、制定和推广青光眼规范化诊断指南、推行信息化管理及区域协同医疗管理等手段加以解决。(眼科,2019,28:1-4)

Abstract:

Early diagnosis of primary glaucoma is a key and essential part in the prevention and treatment of glaucoma. At present, the major issues in glaucoma diagnosing in China are as following, the undervaluation of fundus photography, the insufficient quality of fundus photography, the over-reliance or mis-interpretations of OCT or visual field reports, the inadequate knowledge on glaucoma recognition of the non-glaucoma specialists, and the deficiency of ophthalmic PACS system in medical facilities, etc. Future steps should be taken, including the education to the non-glaucoma physicians, standardized training on fundus photography, formulating and promoting glaucoma diagnosis guidelines, and implementing information technology improvement within hospital and encouraging collaborative medical management. (Ophthalmol CHN, 2019, 28: 1-4)