青光眼损害程度分期诊断的意义

原发性青光眼作为慢病需要终生接受眼保健服务。本文重点介绍近年来美国青光眼协会依据标准化自动视野检查结果制定的基于ICD-9的青光眼分期诊断编码标准，该标准将青光眼分为轻度、中度、重度。国内一些医疗单位的PACS系统曾将青光眼视盘损害分为早、中、晚3期5级。目前尚缺乏视盘损害分期与上述视野损害分期对应关系的研究。青光眼损害分期诊断的研究具有重要的临床及社会学意义，它有利于眼科医师对患者区别治疗与评价治疗手段的有效性，有利于改善医患对青光眼病情的交流沟通，有利于卫生主管部门、医疗保险机构制定合理的青光眼防治策略及费用支付方案。（眼科，2014，23： 6-8）

Significance of glaucoma damage staging diagnosis

Primary glaucoma as chronic disease need to accept eye care services lifelong. American Glaucoma Association according to the standard automated perimetry results recently drafted ICD-9 staging diagnosis criterion of glaucoma. In this criterion, glaucoma  is divided into mild, moderate, severe based on coding. In the PACS system of some eye centers in China glaucoma optic nerve damage has been divided into 3 stages and 5 grades. However, there is no study on the corresponding relationship between above-mentioned visual field damage stage and optic nerve damage stage. The glaucomatous damage staging has important clinical and sociological significance. It is conducive to the treatment of patients with difference and to assess the effectiveness of treatment methods. It can improve the exchange and communication for glaucoma between doctors and patients. It is also important to make stage diagnosis of glaucoma for persuasion and communication with the administrative department of public health, medical insurance institutions.  (Ophthalmol CHN, 2014, 23: 6-8)