现阶段原发性开角型青光眼早期诊断概念和方法的思考

Thinking about the present primary open angle glaucoma early diagnosis concepts and methods

POAG的早期诊断从概念和方法上一直没有明确和统一，缺乏一致的观点。目前，从视神经损害的病理生理学过程及其检测技术看，早期诊断从概念上属于临床早期诊断而非临床前期诊断，方法上依然有赖于眼底形态学指标与视野等功能指标相结合。临床早期诊断的努力方向主要在于探索更加有效的诊断指标，而非一味采用新型的诊断技术。

Early diagnosis of primary open-angle glaucoma has not been clear and consistent in concepts and methods.At present, according to the pathophysiology process of optic nerve damage and its detection technology , early diagnosis on the concept still belongs to the early clinical diagnosis instead of preclinical diagnosis , and on the method depends on the fundus as morphological index combined with the visual field as functional index.The direction of early clinical diagnosis mainly lies in exploring more effective diagnosis index , rather than blindly adopt new diagnostic technology.