从美国眼科临床指南(PPP)原发房角关闭分册看两国原发性闭角型青光眼诊疗思路的不同

Differences between China and the United States in the diagnosis and treatment of primary angle closure glaucoma

眼科临床指南(PPP)是由美国眼科学会(AAO)推出的针对不同眼科疾病的一系列临床工作指南,是循证医学理念在眼科应用的优秀典范。但不可否认,PPP中有一些概念和观点与我国传统观念有较大冲突。其中最为明显之处,表现在原发性闭角型青光眼(PACG)的表述中。本文从2015年版PPP原发房角关闭分册为出发点,谈一谈中美两国在原发性闭角型青光眼诊疗思路中的不同。

Preferred Practice Patterns(PPP)is a series of clinical work guidelines for different eye diseases developed by the American Academy of Ophthalmology(AAO).It is an excellent example of evidence-based medicine in ophthalmology applications.However,it is undeniable that there are some concepts and viewpoints in the PPP guidelines that are quite different from traditional Chinese concepts.Among them,the most prominent expression is in the concept of primary angle closure glaucoma(PACG).This article is based on the 2015 edition of the"Primary Angle Closure"PPP guidelines,to talk about the differences between China and the United States in the diagnosis and treatment of primary angle closure glaucoma.