高度近视合并原发性开角型青光眼诊断中的几个问题

高度近视是一种复杂的眼病，其眼底改变与原发性开角型青光眼（POAG）有相似之处。重视高度近视合并POAG的早期诊断，避免或降低误诊、漏诊率，首先应重视对二者视盘改变相似性与差异性的了解。现代眼底检查设备先进，但有其局限性。其更主要的目的是为随诊建立量化标准。视野分析要结合眼底情况，排除高度近视的影响因素，并注意初检者的学习曲线及视野的短期、长期波动特点。门诊常规项目的检查不可忽视，不能用设备代替临床经验以及医生的综合分析能力。（跟科，2007,16：17-19）

Diagnosis of primary open-angle glaucoma with high myopia

High myopia is a complicated disease as it resembles with primary open-angle glaucoma(POAG)in appearance of the fundus.To avoid making mistake,we would think much of similarities and differences between them.Modern equipments give large number of informations about the fundus,which predominate to establish the quantitative analysis when following up other than early diagnosis.Visual field analysis is interfered by HM fundus dystrophy,also relationship with study curve,long wave motion and short wave motion.It is very important in diagnosis and differential diagnosis with routine methods in clinical work.The experience and judgment of the doctors are never replaced by equipment as yet.