CAJ | 학술논문

基于临床考虑，在《我国原发性青光眼诊断和治疗专家共识》中，将正常眼压型青光眼与高眼压型原发性开角型青光眼同归类为原发性开角型青光眼，归属于一类疾病的两个亚型，分界点在于眼压是在正常范围还是高于21 mm Hg(1 mm Hg=0.133 kPa)。但是正常眼压型青光眼与高眼压型原发性开角型青光眼是否应属同一类型疾病，眼科界争议已久，迄今尚无定论。已有多项研究结果显示两者的发病机制、临床特征、进展危险因素及治疗方法均有差异。因此，提出将NTG从POAG类型中分离出来的观点，以利于今后制定个体化的治疗和随诊方案，希望能与同行探讨。
기우림상고필，재《아국원발성청광안진단화치료전가공식》중，장정상안압형청광안여고안압형원발성개각형청광안동귀류위원발성개각형청광안，귀속우일류질병적량개아형，분계점재우안압시재정상범위환시고우21 mm Hg(1 mm Hg=0.133 kPa)。단시정상안압형청광안여고안압형원발성개각형청광안시부응속동일류형질병，안과계쟁의이구，흘금상무정론。이유다항연구결과현시량자적발병궤제、림상특정、진전위험인소급치료방법균유차이。인차，제출장NTG종POAG류형중분리출래적관점，이리우금후제정개체화적치료화수진방안，희망능여동행탐토。
Based on the clinical consideration, Chinese glaucoma specialist reached a consensus (2008) that normal-tension glaucoma (NTG) is a subtype of primary open-angle glaucoma (POAG), and the dividing line is whether the intraocular pressure (IOP) more than 21 mm Hg or not. But it is still a controversial problem in the world that whether NTG is different from POAG or not. Some studies have confirmed that the pathogenesis of optic neuropathy, clinical features, risk factors for glaucomatous optic neuropathy progression and treatment strategy in NTG are different from those of POAG, indicating that they may be two different disorders.