高度近视视神经病变:视野、视盘周围改变及其与开角型青光眼的关系OA
High myopia optic neuropathy:Changes in visual field and peridisc area and their relationship with open-angle glaucoma
高度近视是全球不可逆性视力损害的重要病因之一.除视网膜病变外,高度近视可独立引发高度近视视神经病变(HMON),其视野缺损、视盘及视盘周围结构改变的病理机制与开角型青光眼(OAG)存在显著差异,导致高度近视合并OAG诊断的复杂性.因此,需要明确HMON的定义、视野表现、视盘及视盘周围影像学改变与OAG的鉴别要点,以及高度近视合并高眼压症的管理挑战问题.
High myopia is a significant cause of irreversible visual impairment worldwide.In addition to retinal pa-thologies,it can independently lead to high myopic optic neuropathy(HMON).The pathological mechanisms underlying visual field defects,optic disc alterations,and peripapillary structural changes in HMON differ markedly from those in pri-mary open-angle glaucoma(OAG),thereby complicating the diagnosis of high myopia coexisting with OAG.Conse-quently,it is essential to clarify the definition of HMON,its characteristic visual field manifestations,imaging features of the optic disc and peripapillary area,key points for differential diagnosis from OAG,as well as the management challenges associated with high myopia accompanied by ocular hypertension.
方严;覃卓珍
232007 安徽淮南,安徽理工大学第一附属医院眼科安徽理工大学眼科研究所232007 安徽淮南,安徽理工大学第一附属医院眼科安徽理工大学眼科研究所
高度近视视神经病变视野视盘开角型青光眼
High myopia optic neuropathyChanges in visual fieldChange in peridisc areaOpen-angle glaucoma
《临床眼科杂志》 2026 (1)
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