原发性前房角关闭（首诊检查和治疗）：AAO临床指南基准的总结（2011年）

中文标题：

原发性前房角关闭（首诊检查和治疗）：AAO临床指南基准的总结（2011年）

英文标题：

PRIMARY ANGLE CLOSURE SUMMARY BENCHMARKS FOR PREFERRED PRACTICE PATTERN® GUIDELINES

发布机构：

美国眼科学会

发布日期：

2011-10-01

简要介绍：

Primary Angle Closure (Initial Evaluation and Therapy)Initial Exam History (Key elements)• Ocular history (symptoms suggestive of intermittentangle-closure attacks) [A:III]• Family history of acute angle-closure glaucoma [B:II]• Systemic history (e.g., use of topical or systemicmedications) [A:III]Initial Physical Exam (Key elements)• Refractive status [A:III]• Pupils [A:III]• Slit-lamp biomicroscopy [A:III]- Conjunctival hyperemia (in acute cases)- Central and peripheral anterior chamber depthnarrowing- Anterior chamber inflammation suggestive of arecent or current attack- Corneal swelling with or without microcystic edema(in acute cases)- Iris abnormalities, including diffuse or focal atrophy,posterior synechiae, abnormal pupillary function,irregular pupil shape, and a mid-dilated pupil(suggestive of a recent or current attack)- Lens changes, including cataract and glaukomflecken- Corneal endothelial cell loss• Measurement of IOP [A:III]• Gonioscopy of both eyes [A:III]• Evaluation of fundus and optic nerve head using directophthalmoscope or biomicroscope [A:III]