减少青光眼导致的盲和视力损伤是防盲的重要内容

Reducing blindness and visual impairment from glaucoma is an important component in the prevention of blindness

由于国际眼科学界和世界卫生组织（WHO）已经注意到青光眼问题的严重性和加强青光眼防治的重要性，因此WHO采取了一些可行措施，以加强全球因青光眼致盲和视力损伤的防治工作。之所以采取这些措施是由于青光眼已经对全球的公共卫生造成了沉重负担，而且采用目前循证的临床干预措施治疗青光眼是有效的。将防治青光眼纳入防盲的重点就意味着不仅采用临床的途径，还要采用公共卫生的途径，整合各种眼保健力量做好青光眼的防治工作，这是青光眼防治策略的重要改变。筛查和早期诊断青光眼是防治青光眼的一项非常重要的工作，目前主要通过加强机会性筛查青光眼的工作，以发现更多的未诊断和未治疗的青光眼患者。所采用的防治青光眼的策略应当与当地的社会经济状况相适应，这样才能有利于推进防盲工作的顺利开展。

International ophthalmological societies and World Health Organization （WHO） have recognized the severity of glaucoma problem and the importance for promoting the glaucoma control worldwide. WHO has taken some measures to reinforce the global prevention of blindness from primary glaucomas. The rationale to deal with the glaucoma problem is that glaucomas produce a significant global public health burden at present, and glaucoma can be effectively treated once detected according the evidenced-based practice protocols for glaucoma management. Taking the glaucoma control as the priority for prevention of blindness means not only apply the clinical path, but also apply public health path and integrate various levels of ophthalmic manpower to deal with glaucoma problem. That is a great change in the prevention and management of glaucomas. Screening and early detection of glaucoma cases is very important in glaucoma control. At present, enhancing opportunistic case detection has been used to find more undiagnosed and untreated glaucoma cases, since evidence regarding the benefits of population-based screening is currently lacking. The scope of intervention strategies for glaucoma control should be matched with the local socio-economic status, thus the initiative for glaucoma control can be smoothly developed and progressed.