加强原发性青光眼的机会性筛查工作

早期发现和确诊原发性青光眼患者有利于减少青光眼引起的盲和视力损伤.开展机会性筛查工作是更早、更及时地发现原发性青光眼患者的有效方法.机会性筛查是指一些人因为健康体检或者其他问题来眼科就诊时,眼科医师有意识地进行青光眼方面的必要检查而发现的有关青光眼的情况,这应当是眼科临床工作的一部分.由于原发性闭角型青光眼与原发性开角型青光眼是两种不同类型的青光眼,具有明显不同的发病机制和临床特征,因此所采用的机会性筛查方法应当不同.作为眼科医师应当明确认识原发性闭角型青光眼和原发性开角型青光眼的发生和发展是一个连续体的概念,注意筛查试验和诊断试验的重要区别,选择筛查试验方法要力求简便、易行,重视防治青光眼人力资源的开发和应用,这对于做好机会性筛查工作十分重要.

To strength the opportunistic screening for primary glaucoma

Early detecting and diagnosing primary glaucoma is helpful to reduce blindness and sever visual impairment from primary glaucoma.Opportunistic screening is an effective approach to early find more patients of primary glaucoma. Opportunistic screening means ophthalmologist intentionally find glaucoma patients by the necessary examinations in the individuals who come to hospital due to health physical examination or other diseases.Opportunistic screening should be one part of routine eye examination.Since primary angle closure glaucoma(PACG)and primary open angle glaucoma(POAG)are the different kinds of glaucoma with obvious different clinical features and pathogenesis,the method of opportunistic screening should be also different for them.The concept of continuum of development of PACG and POAG is important for conducting the opportunistic screening for primary glaucoma.The screening test and diagnostic test should be distinguished in the opportunistic screening.The selected screening test should be simple and easily performance.Development of human resource for primary slaucoma is also important for opportunistic screening for primary glaucoma.