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題名 | Influence of Axial Length on Visual Field Defects in Primary Open-Angle Glaucoma=眼軸長度對原發性隅角開放性青光眼視野缺損之影響 |
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作者 | 陳裕芳; 王清泓; 林隆光; 洪伯廷; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 96:12 1997.12[民86.12] |
頁次 | 頁968-971 |
分類號 | 416.748 |
關鍵詞 | 眼軸長度; 原發性隅角開放性青光眼; 視野缺損; Axial length; Glaucoma; Myopia; |
語文 | 英文(English) |
英文摘要 | With the high frequency of myopia in Taiwan, potential complications or associated conditions, such as glaucoma, are of great concern. To investigate the role of axial length in glaucoma, we enrolled 307 primary open-angle glaucoma (POAG) patients from 1986 through 1996. For the control group, 124 persons were recruited from a survey of a non-glaucoma population and the Ophthalmology Outpatient Department of the National Taiwan University Hospital. Routine eye examination, stereophotography of the optic disc, automated visual field tests, and A-scan ultrasonography were performed on each patient. The Glaucoma Hemifield test was used for analysis of visual field results. The mean axial length was longer in the POAG group than in the control group, especially in the younger age groups (40-59 yr). The POAG group was divided into a short-axial-length (SAL, axial length<26 mm) group and a long-axial-length (LAL, axial length ≧ 26 mm) group. Both subgroups had the deepest visual field defects in the upper and lower nasal areas. The LAL group had deeper visual field defects and the defects were more frequently involved in all sectors analyzed than the SAL group defects. The upper visual field had deteriorated more in the SAL group, whereas the depth of scotoma was similar in the upper and lower hemifields in the LAL group. Our results support the idea that glaucoma patients have a longer axial length than people without glaucoma, and that visual field defects are more pronounced in patients with LAL than in those with SAL. |
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