Abstract
2, 528 visual fields of patients with glaucoma were examined. All atypical nerve fibre bundle defects (NFBD) were selected and all myopes. Myopic defects are a) enlargement of the blind spot, occurring in 18% to 30% of the myopic eyes depending in the degree of myopia, b) supertemporal refraction defect (2–6%) and c) irregular defects due to myopic choroidal dystrophy. Atypical NFBD were found in only a few non-myopes but in a large number of myopes.
Temporal NFBD occurred in 16% and cecocentral NFBD in 9 to 18% of myopic glaucoma (MG).
It is difficult to predict the existence of an atypical defect from optic dise evaluation.
Zusammenfassung
2528 Gesichtsfelder von Glaukompatienten wurden überprüft. Dabei wurden alle atypischen Nervenfaserbündel-Defekte (NFBD) und alle Fälle von Myopie ausgewählt. Myopische Defekte sind: a) Vergrößerung des blinden Flecks (mit einer Häufigkeit von 18–30%, vom Myopiegrad abhängig, b) superiotemporale Refraktionsskotome (2–6%) and c) irreguläre Ausfälle infolge myopischer chorioidaler Dystrophie. Atypische NFBD fanden sich nur bei wenigen Nicht-Kurzsichtigen, aber bei vielen Myopen. Temporale NFBD ergaben sich in 16% und zentrozoekale NFBD in 9 bis 18% bei Myopieglaukom.
Es ist schwierig, allein aus der Papillenbewertung abzulesen, ob ein atypischer NFBD vorliegt.
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References
Black, R.K., Jay, B.: The glaucomatous dise in degenerative myopia. Trans. Ophthal. Soc. U.K.85, 161 (1965)
Brais, P., Drance, S.M.: The temporal field in chronic simple glaucoma. Arch. Ophthal.88, 518 (1972)
Brown, C.E.: The problem of myopia: The practioner. The practitioner.209, 5 (1972)
Drance, S.M.: A screening method for temporal visual defects in chronic simple glaucoma. Canad. J. Ophthal.7, 428 (1972)
Duke-Elder, S: System of ophthalmology. Vol. V & XI 1963). H. Kimpton, London
Gala: cited by Duke-Elder in system of Ophthalmology. Vol. XI. London: Kimpton 1930
Goldman, H.: In Entwicklung und Fortschritt in der Augenheilkunde. 361 Stuttgart: Enk, 1936
Goldman, H.: Biomicroscopie du corps vitre et du fond de L'Oeil. 358 Paris: Masson, 1957
Goldsmith, E.: On the etiology of myopia; an epidemiological study. Acta Ophthal. (Kbh)46, suppl. 98, p. 1 (1968)
Graham, M.V., Wakefield, G.J.: Bitemporal visual field defects associated with anomalies of the optic disc. Brit. J. Ophthal.57, 307 (1973)
Greve, E.L.: Single and multiple stimulus static perimetry in Glaucoma; The two phases of visual field examination. Docum. Ophthal.36, 1–355 (1973)
Greve, E.L., Verduin, W.M.: Detection of glaucomatous damage. Part I. Visual field examination. (Presented in the 2nd Int. Visual Field Symp. Tübingen 1976). Docum. Ophthal. Proc. Series14, 103 (1977)
Harrington, D.O.: The visual fields: a textbook and atlas of clinical perimetry III ed. (1971). St. Louis: C.V. Mosby 1971
Jayle, G.E.: Périmétrie du grand myope. Ann. Oculist (Paris)188, 431 (1955)
Keerl, G.: Ein Beitrag zum atypischen Glukomgesichtsfeld. Klin. Mbl. Augenheilk.131, 505 (1957)
Kurz, O.: On visual field defects in glaucoma not usually noticed. Acta Med. orient16, 139 (1957)
Lange: Cited by Duke-Elder in System of Ophthalmology. vol XI London: Kimpton 1896
Lehrfeld, L., Reber, J.: Glaucoma at the Wills Hospital. Arch. Ophthal.18, 712 (1937)
Leighton, D.A.: Ocular tension and axial length of the eyeball in open-angle glaucoma and low tension glaucoma. Brit. J. Ophthal.57, 499 (1973)
Manor, R.S.: Temporal field defects due to nasal tilting of discs. Ophthalmologica168, 269 (1974)
Möller, H.U.: Excessive myopia and glaucoma. Acta Ophthal.26, 185 (1948)
Odland, M.: Bitemporal defects of the visual fields due to anomalies of the optic dises. Acta Neurol. Scandinav.43, 630 (1967)
Podos, S.M., Becker, B., Ross Morton, W.: High myopia and primary open-angle glaucoma. Amer. J. Ophthal.62, 1039 (1966)
Posner, A., Schlossman, A.: Development of changes in visual fields associated with glaucoma. Arch. Ophthal39, 623 (1949)
Riise, D.: Visual field defects in optic disc malformation with ectasia of the fundus. Acta Ophthal. (Kbh)44, 906 (1966)
Rucker, C.W.: Bitemporal defect in the visual fields resulting from developmental anomalies of the optic disc. Arch. Ophthal.35, 546 (1946)
Schlossman, A.: Myopia with Glaucoma. Contact Intra-Oc. Lens. Med. J.1, 84 (1975)
Scott, G.H.: Traquair's clinical perimetry. 7th. ed. London: Kimpton 1957
Tomlinson, A.: Applanation tension and axial length of the eyeball. Brit. J. Opththal.54, 548 (1970)
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Greve, E.L., Furuno, F. Myopia and glaucoma. Albrecht v Graefes Arch. klin. exp. Ophthal. 213, 33–41 (1980). https://doi.org/10.1007/BF02391209
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DOI: https://doi.org/10.1007/BF02391209