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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

方严 覃卓珍

临床眼科杂志2026,Vol.34Issue(1):1-5,5.
临床眼科杂志2026,Vol.34Issue(1):1-5,5.DOI:10.3969/j.issn.1006-8422.2026.01.001

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

High myopia optic neuropathy:Changes in visual field and peridisc area and their relationship with open-angle glaucoma

方严 1覃卓珍1

作者信息

  • 1. 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
  • 折叠

摘要

Abstract

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.

关键词

高度近视视神经病变/视野/视盘/开角型青光眼

Key words

High myopia optic neuropathy/Changes in visual field/Change in peridisc area/Open-angle glaucoma

引用本文复制引用

方严,覃卓珍..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[J].临床眼科杂志,2026,34(1):1-5,5.

临床眼科杂志

1006-8422

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