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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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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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