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人类昼夜眼压变化经过90余年的研究,肯定了它在青光眼诊断和治疗中的临床意义。一、昼夜眼压变化的发现和历史 Silder-Hugeuenin(1898)用指测法发现青光眼存在昼夜眼压变化。Maslenikow(1904)用Maklokoff眼压计检查了20只青光眼的昼夜眼压,第一次清楚地描述了它的变化。从此很多人做了这方面工作,发现绝大多数正常眼昼夜眼压变化差不超过5mmHg,高限为7.5-10mmHg;青光眼昼夜波动大于正常眼;峰压通常在早上,谷压在下午,但对此仍有不同看法。Kollner(1916)开始用曲线形式表达昼夜眼压变化,曲线的分型方法至今仍不统一,有的根据曲线形态分型,有的根据峰压出现时间分型。
After more than 90 years of research, the changes of diurnal and intraocular pressure have affirmed its clinical significance in the diagnosis and treatment of glaucoma. First, the discovery and history of diurnal changes in intraocular pressure Silder-Hugeuenin (1898) found that there is diurnal intraocular pressure changes in glaucoma. Maslenikow (1904) examined the diurnal intraocular pressure of 20 glaucoma with a Maklokoff tonometer, for the first time clearly described its change. Since then, many people do this work and found that most of the normal eye intraocular pressure changes less than 5mmHg, the maximum limit of 7.5-10mmHg; glaucoma greater than normal day and night fluctuations; peak pressure is usually in the morning, the valley in the afternoon, but in the afternoon There are still different opinions on this. Kollner (1916) began to use the curve to express intraocular pressure changes day and night, the curve of the typing method is still not uniform, and some according to the curve shape, and some according to the peak pressure appears time-type.