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1 3
2
3 up-date
4
5 40 5.8
6
7 Primary angle-closure PAC 3 4
8 2006 3
9
10 3 4 icare dynamic contour tonometer VEGF
11
12 Goldmann 3 4 5
13 QOL
14 van Herick
15 3 GDD
16
17 quality of life quality of vision
18 5
19
20 * ** Goldmann
21
22
23 4
24
25 5
26 1
27 2 glaucomatous optic neuropathy: GON primary glaucoma
28 primary glaucoma primary open angle glaucoma normal tension glaucoma, normal-pressure glaucoma primary angle closure glaucoma secondary glaucoma secondary open angle glaucoma: pretrabecular form secondary open angle glaucoma: trabecular form ghost cell glaucoma Schwartz Schlemm secondary open angle glaucoma posttrabecular form secondary open angle glaucoma hypersecretory form
29 secondary angle-closure glaucoma: posterior form with pupillary block secondary angle closure glaucoma: posterior form without pupillary block C secondary angle closure glaucoma: posterior form secondary angle closure glaucoma: anterior form ICE developmental glaucoma Sturge-Weber Axenfeld-Rieger Peters anomaly Marfan Weill- Marchesani Pierre Robin Lowe Rubinstein-Taybi Hallermann-Streiff
30 mm Hg mmhg mmhg 20 mmhg myocilin optineurin primary open angle glaucoma
31 ocular hypertension normal tension glaucoma, normal pressure glaucoma primary angle closure glaucoma 1 primary angle closure suspect: PACS peripheral anterior synechia: PAS appositional angle closure
32 2 primary angle closure: PAC 3 primary angle closure glaucoma: PACG static gonioscopy occludable angle 3 3/4 270 iridotrabecular contact: I TC 180 primary angle closure primary angle closure
33 1 relative pupillary block 2 plateau iris plateau iris configuration plateau iris mechanism plateau iris glaucoma plateau iris syndrome 3 lens factor 4 ciliochoroidal effusion, uveal effusion
34 mmhg acute primary angle closure 2
35 mixed glaucoma secondary glaucoma GON
36 Schlemm ICE
37 developmental glaucoma Marfan Axenfeld-Rieger Peters anomaly Sturge-Weber European Glaucoma Society: Terminology and Guidelines for Glaucoma, Second edition, Ritch R, Shields MB: TheSecondary Glaucomas. Mosby, St. Louis, Iwase A, Suzuki Y, Araie M, Shirato S, Kuwayama Y, Mishima HK, et al: Tajimi Study Group, Japan Glaucoma Society: Theprevalence of primary open-angle glaucoma in Japanese. The Tajimi Study. Ophthalmology , 2004.
38 3
39 ICE Haab Descemet Krukenberg spindle van Herick 1 2
40 mmhg 21 mmhg mmhg mmhg 2
41 mmhg Goldmann Goldmann Schi otz Tonopen Perkins icare Dynamic contour tonometer DCT Goldmann photorefractive keratectomy: PRK laser in situ keratomileusis: LASIK
42 Schwalbe 1 3 Schwalbe Schwalbe Descemet Schwalbe Schlemm Schwalbe Sampaolesi
43 Koeppe Goldmann Zeiss static gonioscopy dynamic gonioscopy indentation gonioscopy
44 Goldmann apostilbs asb 1 asb candela/m millilambert
45 Goldmann Goldmann 31.5 asb 30 cm 0 1/16 mm 2 1/4 mm 2 1 mm 2 4 mm 2 16 mm 2 64 mm 2 1 a 12.5 asb 4 e 1000 asb /4 e /4 e /3 e /2 e /1 e Humphrey Octopus 1 decibel db 0.1 log Unit 30 Blue on yellow perimetry short-wavelength automated perimetry: SWAP, Frequency doubling technology FDT, Flicker perimetry
46 1 4 5
47 4 quality of life QOL QOL
48 QOL 3
49 QOL 19 mmhg 16 mmhg 14 mmhg
50 QOL QOL QOL QOL QOL QOL QOL
51
52
53
54 QOL 3
55
56 Abraham Wise 1 Nd YAG mw
57 1000 mw Nd YAG Nd YAG Nd YAG 1 3
58 25 mmhg 1 1/4 1/ nm Q YAG selective laser trabeculoplasty SLT 1/ mw
59
60 mw
61 mm 1 1/2 3/ mw 2
62 mw viscocanalostomy
63
64 1 Schlemm Schlemm 2 3 1
65 Collaborative Normal-Tension Glaucoma Study Group: Comparison of glaucomatous progression between untreated patients with normal-tension glaucoma and patients with therapeutically reduced intraocular pressures Am J Ophthalmol , Collaborative Normal-Tension Glaucoma Study Group: The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma Am J Ophthalmol The AGIS Investigators: TheAdvanced Glancoma Intervention study AGIS : 7. The relationship between control of intraocular pressure and visual field deterioration. Am J Ophthalmol , Kass MA, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, et al: The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Arch Ophthalmol ; discussion , Heijl A, Leske MC, Bengtsson B, Hyman L, Bengtsson B, Hussein M: Early Manifest Glaucoma Trial Group: Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial. Arch Ophthalmol , Leske MC, Heijl A, Hussein M, Bengtsson B, Hyman L, Komaroff E: Early Manifest Glaucoma Trial Group: Factors for glaucoma progression and the effect of treatment: the early manifest glaucoma trial. Arch Ophthalmol , 2003.
66 5 quality of life QOL 4 1
67 mmhg
68 10 mmhg mmhg 24 mmhg 5 24 mmhg
69 20 mmhg preperimetric glaucoma preperimetric glaucoma
70 1 residual glaucoma A i 1
71 a g/kg ml L 637 kcal b ml ml/kg
72 3 a 10 mg/kg b c d 4 a b c 1 2 A ii residual glaucoma
73 a b c d e f g PACS
74
75 1 1 A i vascular endothelial growth factor: VEGF
76 B i B ii B iii Posner-Schlossman Beh et B iv B v Schwartz 1 2 3
77 B vi C i A i
78 B i B ii C i ICE 1 2 3
79 Schlemm 3 4
80 5 Sturge-Weber Axenfeld-Rieger Peters anomaly Marfan Weill-Marchesani Pierre Robin Lowe Rubinstein-Taybi Hallermann-Streiff 1 1
81 1 1, Iwase A, Suzuki Y, Araie M, Yamamoto T, Abe H, Shirato S, et al: Tajimi Study Group, Japan Glaucoma Society: The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study. Ophthalmology , Yamamoto T, Iwase A, Araie M, Suzuki Y, Abe H, Shirato S, et al: Tajimi Study Group, Japan Glaucoma Society: The Tajimi Study report 2: prevalence of primary angle closure and secondary glaucoma in a Japanese population. Ophthalmology , 2005.
82 van Herick 60 Grade 1 1/4 Grade 2 1/4 Grade 3 1/4 1/2 Grade 4 Shaffer Grade 00 Grade 110 Grade 2 20 Grade Scheie Grade 0 Grade Grade Grade Grade Humphery 1 3 1
83 Glaucoma Hemifield Test 1 Anderson DR, Patella VM: Automated Static Perimetry. 2nd edtion, Mosby, St. Louis, , 1999.
84 1 2 a b Goldmann GP a GP b GP a GP 4 1/4 b GP 4 1/4 1/2 GP 4 1/2 a GP 4 b GP 4 GP 4 Aulhorn Greve 3 Stage db Mariotte 6 db Stage 1 10 db Mariotte Stage 2Mariotte Stage 3 Mariotte Stage 4 1 Stage 5
85 1 Stage 6 Humphery 4 6 db db 1 12 db db 5 15 db Greve EL, Langerhorst CT, van den Berg TTJP: Perimetry and other visual function tests in glaucoma. In Cairns JE ed : Glaucoma. Vol. 1. Grune & Stratton, London, 37 77, 1986.
86 4 Anderson DR. Patella VM: Automated Static Perimetry. 2nd edition. Mosby, St. Louis, , 1999.
87 Schlemm
88 1 1
89
90
91 Schlemm
92 Parkinson
93 ,000 mg
94 ,000 mg Stevens-Johnson Lyell Addison QT
95 ACTH D 20 D 15 D10 15 D5 D 5 15 ml/kg g D g
96 50 3 ml/kg ml
97 ml
98
99 D Goldmann 78 D 90 D 30 45
100 495 nm Heidelberg Retina Tomograph HRT, GDx Nerve Fiber Analyzer GDx optical coherence tomograph: OCT HRT GDx 780 nm HRT GDx 2 retardation OCT B 820 nm OCT 1 A 1 4 mm 6
101 30 OCT 5 26,000 A 1. 5 neuroretinal rim parapapillary atrophy PPA
102 bared vessel
103 laminar dot sign 3 ISN T bayoneting
104 PPA 2 PPA PPA 80 MD mean deviation CPSD corrected pattern standard deviation PPA PPA PPA PPA
105 D 90 D 2
106 2 cup-to-disc ratio, C/D R/D mm DD DM DM/DD pallor
107 DM/DD C/D 1 C/D C/D 2 C/D Gloster 1 C/D
108 C/D ab C/D C/D R/D 1 3 R/D R/D 6 C/D R/D Foster 3 C/D
109 R/D ab 5 7 R/D 0.1 C/D C/D R/D 0.05 C/D C/D R/D C/D
110 Heidelberg Retina Tomograph GDx Nerve Fiber Analyzer 80 1 Gloster J, Parry DG: Use of photographs for measuring cupping in the optic disc. Br J Ophthalmol , , Foster PJ, Buhrmann R, Quigley HA, Johnson GJ: Thedefinition and classification of glaucoma in prevalence surveys Br J Ophthalmol , 2002.
111 3 Glaucoma drainage devices : GDD GDD GDD GDD GDD GDD GDD Tube-shunt surgery Drainage-device surgery Drainage implant surgery 3 GDD Aqueous Shunts GDD Aqueous Shunts GDD Glaucoma
112 drainage devices GDD GDD a Baerveldt Glaucoma Implant GDD 3 BG , BG , Pars Plana BG BG BG
113 Pars Plana BG BG BG Pars Plana BG mm 0.30 mm 4 1, 2 GDD
114 8 10 mm 2 4 mm 2 3 mm 23 G
115 3.5 mm 23 G Hoffmann elbow , 2 GDD
116 encapsulation Dellen decompression retinopathy
117 b Ahmed TM Glaucoma Valve New World Medical Ahmed TM Glaucoma Valve GDD mm mm 8 12 mmhg AGV S FP S 2, FP 7 13 mm 16 mm 184 S 3, FP8 96 GDD pars plana clip PC 7, PC8 B 1, FX1 364
118 GDD AGV AGV AGV 8 9 mm 23 G AGV 6 6 mm
119 5 21 mmhg C 1, mmhg 11 GDD GDD a EX-PRESS Glaucoma Filtration Device Alcon EX-PRESS GDD GDD
120 GDD GDD GDD EX-PRESS delivery system, EDS R 50 PL P 50 PL P 200 PL 3 R 2.9 mm P 2.6 mm P 50 EX- PRESS EX- PRESS MRI GDD EX-PRESS
121 EX-PRESS C G EDS EX-PRESS EDS EX-PRESS EX- PRESS EX-PRESS mmhg EX-PRESS mmhg 21 mmhg64 14 mmhg
122 mmhg mmhg 23 EX-PRESS GDD YAG GDD encapsulation.
123 1 Minckler DS, Vedula SS, Li TJ, Mathew MC, Ayyala RS, Francis BA: Aqueous shunts in glaucoma. Cochrane Database Sys Rev. 2: CD004918, Minckler DS, Francis BA, Hodapp EA, Jampel HD, Lin SC, Samples JR, etal:aqueous shunts in glaucoma. A report by the American Academy of Ophthalmology. Ophthalmology , Krishina R, Godfrey DG, Budnez DL, Escalona-Camaa no E, Gedde SJ, Greenfield DS, etal: Intermediate-term outcomes of 350- Baerveldt glaucoma implants. Ophthalmology , Seah SK, Gazzard G, Aung T: Intermediate-term outcome of Baerveldt glaucoma implants in Asian eyes. Ophthalmology , Wang JC, See JL, Chew PT: Experience with the use of Baerveldt and Ahmed glaucoma drainage implants in an Asian population. Ophthalmology , Rolim de Moura C, Fraser-Bell S, Stout A, Labree L, Nilfors M, Varma R: Experience with the Baerveldt glaucoma implant in the management of pediatric glaucoma. Am J Ophthalmol , van Overdam KA, de Faber JT, Lemji HG, de Waard PW: Baerveldt glaucoma implants in paediatric patients. Br J Ophthalmol , Banitt MR, Sidoti PA, Gentile RC, Tello C, Liebmann JM, Rodriguez N, etal: Pars plana Baerveldt implantation for refractory childhood glaucomas. J Glaucoma , Witmer MT, Tiedeman JS, Olsakovsky LA, Conaway MR, Prum BE: Long-term intraocular pressure control and corneal graft survival in eyes with a pars plana Baerveldt implant and corneal transplant. J Glaucoma , Gedde SJ, Schiffman JC, Feuer WJ, Herndon LW, Brandt JD, Budenz DL; Tube Versus Trabeculectomy Study Group: Three-year follow-up of the Tube Versus Trabeculectomy Study. Am J Ophthalmol , Budenz DL, Barton K, Feuer WJ, Schiffman J, Costa VP, Godfrey DG, et al; Ahmed Baerveldt Comparison Study
124 Group: Treatment outcomes in the Ahmed Baerveldt Comparison Study after 1 year of follow-up. Ophthalmology , Coleman AL, Hill R, Wilson MR, Choplin N, Kotas-Neumann R, Tam M, etal:initialclinical experience with the Ahmed glaucoma valve implantation. Am J Ophthalmol , Topouzis F, Coleman AL, Choplin N, Bethlem MM, Hill R, Yu F, etal:follow-up of the original cohort with the Ahmed glaucoma valve implant. Am J Ophthalmol , Ayyala RS, Zurakowski D, Smith JA, Monshizadeh R, Netland PA, Richards DW, et al: A clinical study of the Ahmed glaucoma valve implant in advanced glaucoma. Ophthalmology , Ishida K, Netland PA, Costa VP, Shiroma L, Khan B, Ahmed II: Comparison of polypropylene and silicone Ahmed glaucoma valves. Ophthalmology , Chen TC, Bhatia LS, Walton DS: Ahmedglaucoma valve surgery for refractory pediatric glaucoma: a report of 52 eyes. J Pediatr Ophthalmol Strabismus , Maris PJ Jr, Ishida K, Netland PA: Comparison of trabeculectomy with Ex-PRESS miniature glaucoma device implanted under scleral flap. J Glaucoma , Good TJ, Kahook MY: Assessment of bleb morphologic features and postoperative outcomes after Ex-PRESS drainage device implantation versus trabeculectomy. Am J Ophthalmol , de Jong L, Lafuma A, Aguade AS, Berdeaux G: Five-year extension of a clinical trial comparing the EX-PRESS glaucoma filtration device and trabeculectomy in primary openangle glaucoma. Clin Ophthalmol , Traverso CE, De Feo F, Messas-Kaplan A, Denis P, Levartovsky S, Sellem E, etal:longtermeffect on IOP of a stainless steel glaucoma drainage implant Ex-PRESS in combined surgery with phacoemulsification. Br J Ophthalmol , Kanner EM, Netland PA, Sarkisian SR Jr, Du H: Ex-PRESS
125 miniature glaucoma device implanted under a scleral flap alone or combined with phacoemulsification cataract surgery. J Glaucoma , Wamsley S, Moster MR, Rai S, Alvim HS, Fontanarosa J: Results of the use of the Ex-PRESS miniature glaucoma implant in technically challenging, advanced glaucoma cases: a clinical pilot study. Am J Ophthalmol , Dahan E, Carmichael TR: Implantation of a miniature glaucoma device under a scleral flap. J Glaucoma , 2005.
126 TEL FAX E mail jgs@g-jimukyoku.jp 2012 JGS All Rights Reserved
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4 quality of life QOL QOL QOL 3 QOL 19 mmhg 16 mmhg 14 mmhg 1 2 7 20 30 QOL QOL QOL QOL QOL QOL QOL 4 1 1 1 2 1 2 3 1 2 4 2 2 1 2 2 2 2 1 2 3 QOL 3 2 1 1 5 1 1 2 1 Abraham Wise 1 Nd YAG 2 1 200 500 200
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Comparative Study of Glaucomatous Findings in Fundus Photography and Humphrey Perimetry Feng SHI, Yoshimi OYA and Katsuhiko NANBA Heidelberg retina tomographyhrt scanning laser polarimetry GDx VCCGDx optical
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