对青光眼患者24小时眼压波动的思考
Exploration on the 24 hour intraocular pressure fluctuation in glaucoma patients
眼压是青光眼最重要且最易控制的临床指标,具有昼夜波动性和节律性,24 h眼压测量较单次眼压测量能更好地反映眼压的变化状况.目前已经明确峰值眼压是青光眼进展的独立危险因素,然而眼压波动对青光眼进展的影响值得思考.本文重点讨论眼压波动是否为青光眼进展的独立危险因素,如何获取24 h眼压曲线以及24 h眼压监测的未来发展方向等问题,以期引起临床关注.
更多Intraocular pressure is the most important and most easily controlled clinical parameters of glaucoma. It has a fluctuation and circadian rhythm. The 24 hours intraocular pressure measurement can better reflect the changes of intraocular pressure. It is clear that peak IOP is an independent risk factor for the progression of glaucoma, but the effect of IOP on glaucoma progression is worth exploring. This article focuses on whether IOP fluctuation is an independent risk factor for glaucoma progression, how to obtain the 24-hour intraocular pressure curve, the future direction of 24-hour intraocular pressure monitoring and other issues in order to cause clinical concern.
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