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guidelines for Glaucoma Treatment-Glaucoma

guidelines for Glaucoma Treatment-Glaucoma
The compass for glaucoma treatment answers the questions that glaucoma patients often ask when they go to the hospital, for example, what department number does glaucoma hang? Precautions before glaucoma examination? What do doctors usually ask? What tests should glaucoma do? What do you think of glaucoma examination results? Wait. The purpose of glaucoma treatment guide is to facilitate glaucoma patients to seek medical treatment and solve the doubts of glaucoma patients.
Typical symptom
Increased ocular scale and ocular pain
Suggested visiting department
Best visit time
Early detection and early treatment
Duration of visit
Half-day treatment
Frequency of follow-up visit/diagnosis and treatment cycle
1-3 years
Preparation before seeing a doctor
Check one's eyesight
Common consultation contents
1. Describe the reason for seeing a doctor (when did you start and what's wrong?)
2. Have you been to the hospital, have you done those examinations, and what are the examination results?
3. Is the feeling of discomfort caused by obvious factors?
4. How is the treatment?
5. Is there any history of drug allergy?
Key inspection items
1. Ultrasonic biomicroscope
This technique can dynamically and statically record the anatomical structure and physiological function of the anterior segment of living human eyes in a natural state without interference, It can be used for quantitative measurement, especially for real-time recording of ciliary body morphology, peripheral iris, posterior chamber morphology and physiological and pathological changes, which provides valuable data for the diagnosis and treatment of primary angle-closure glaucoma, especially primary chronic angle-closure glaucoma.
2. Confocal laser scanning
The machine adopts low-energy radiation scanning technology, Real-time image recording and computer image analysis technology, Through confocal laser fundus scanning, It can pass through the slightly turbid refractive stroma, High resolution and high contrast retinal tomography can accurately record and quantitatively analyze the distribution of optic nerve fibers and stereo images of optic disc, and simultaneously check the blood flow state in optic papilla region and complete local visual field and electrophysiological examination, which is of great value for early diagnosis, disease staging and prognosis analysis of glaucoma
3. Quantitative static visual field and pattern visual evoked potential
When glaucoma has typical visual field defect, The loss of optic nerve fibers may have reached 50%. Computer automatic perimetry provides a basis for the earliest diagnosis of glaucoma by detecting the change of visual threshold. PVEP and PE-RG examination of graphic visual electrophysiology have certain sensitivity and specificity in glaucoma. If the above two examinations are combined, the early detection rate of glaucoma can be significantly improved.
Diagnostic criteria
Family members have a history of glaucoma, and feel headache, eye swelling and visual fatigue, especially those who have presbyopia earlier or the elderly who frequently change presbyopic glasses, should go to the ophthalmology department for examination in time and have regular reexamination. In the early stage of glaucoma, the intraocular pressure is often unstable, and the intraocular pressure rises only for a few hours in one day. Therefore, measuring the 24-hour intraocular pressure curve is helpful for diagnosis. Enlargement of optic disc depression is one of the common signs of glaucoma, There is no obvious change in the early optic disc, With the development of the disease, the physiological depression of the optic disc gradually expands and deepens, and finally reaches the edge, forming a typical cup-shaped depression of glaucoma. The damage of retinal nerve fiber layer adjacent to the optic disc is the basis of visual field defect, which appears before the optic disc or visual field changes, so it can be used as one of the early diagnosis indexes of open-angle glaucoma.


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