原発開放隅角緑内障
WordNet
- unornamented; "a simple country schoolhouse"; "her black dress--simple to austerity"
- any herbaceous plant having medicinal properties
- (botany) of leaf shapes; of leaves having no divisions or subdivisions (同)unsubdivided
- having few parts; not complex or complicated or involved; "a simple problem"; "simple mechanisms"; "a simple design"; "a simple substance"
- being long-lasting and recurrent or characterized by long suffering; "chronic indigestion"; "a chronic shortage of funds"; "a chronic invalid"
- of long duration; "chronic money problems" (同)continuing
- habitual; "a chronic smoker" (同)inveterate
- an eye disease that damages the optic nerve and impairs vision (sometimes progressing to blindness); "contrary to popular belief, glaucoma is not always caused by elevated intraocular pressure"
PrepTutorEJDIC
- 『簡単な』容易な,分かりやすい / (複合に対して)単一の / 『単純な』,込み入っていない / 『純然たる』,全くの / 『飾り気のない』,簡素な,地味な,質素な / 『もったいぶらない』;誠実な,実直な / お人よしの,だまされやすい / 《文》地位のない,普通の,平(ひら)の
- 薬草,薬用植物
- (病気が)長期にわたる,慢性の / 《名詞の前にのみ用いて》常習の,癖になった
- あおそこひ,緑内障(視力が減退する眼病)
UpToDate Contents
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English Journal
- Altered aquaporin expression in glaucoma eyes.
- Tran TL, Bek T, Cour ML, Nielsen S, Prause JU, Hamann S, Heegaard S.Author information Eye Pathology Institute, Department of Neuroscience and Pharmacology, University of Copenhagen, Copenhagen, Denmark.AbstractAquaporins (AQP) are channels in the cell membrane that mainly facilitate a passive transport of water. In the eye, AQPs are expressed in the ciliary body and retina and may contribute to the pathogenesis of glaucoma and optic neuropathy. We investigated the expression of AQP1, AQP3, AQP4, AQP5, AQP7 and AQP9 in human glaucoma eyes compared with normal eyes. Nine glaucoma eyes were examined. Of these, three eyes were diagnosed with primary open angle glaucoma; three eyes had neovascular glaucoma; and three eyes had chronic angle-closure glaucoma. Six eyes with normal intraocular pressure and without glaucoma were used as control. Immunohistochemistry was performed using antibodies against AQP1, AQP3, AQP4, AQP5, AQP7 and AQP9. For each specimen, optical densities of immunoprecipitates were measured using Photoshop and the staining intensities were calculated. Immunostaining showed labelling of AQP7 and AQP9 in the nonpigmented ciliary epithelium and the staining intensities were significantly decreased in glaucoma eyes (p = 0.003; p = 0.018). AQP7 expression in the Müller cell endfeet was increased (p = 0.046), and AQP9 labelling of the retinal ganglion cells (RGC) showed decreased intensity (p = 0.037). No difference in AQP1, AQP4 and AQP9 expression was found in the optic nerve fibres. This study is the first investigating AQPs in human glaucoma eyes. We found a reduced expression of AQP9 in the retinal ganglion cells of glaucoma eyes. Glaucoma also induced increased AQP7 expression in the Müller cell endfeet. In the ciliary body of glaucoma eyes, the expression of AQP7 and AQP9 was reduced. Therefore, the expression of AQPs seems to play a role in glaucoma.
- APMIS : acta pathologica, microbiologica, et immunologica Scandinavica.APMIS.2014 Jan 31. doi: 10.1111/apm.12225. [Epub ahead of print]
- Aquaporins (AQP) are channels in the cell membrane that mainly facilitate a passive transport of water. In the eye, AQPs are expressed in the ciliary body and retina and may contribute to the pathogenesis of glaucoma and optic neuropathy. We investigated the expression of AQP1, AQP3, AQP4, AQP5, AQP
- PMID 24479869
- Is vitamin D status associated with open-angle glaucoma? A cross-sectional study from South Korea.
- Yoo TK1, Oh E1, Hong S2.Author information 11 Department of Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.23 Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Republic of Korea.AbstractOBJECTIVE: Open-angle glaucoma (OAG) is one of the major chronic diseases involving the optic nerve. However, little is known about the association between vitamin D and OAG. The present study was conducted to test the hypothesis that lower vitamin D status is associated with greater prevalence of OAG.
- Public health nutrition.Public Health Nutr.2014 Jan 10:1-11. [Epub ahead of print]
- OBJECTIVE: Open-angle glaucoma (OAG) is one of the major chronic diseases involving the optic nerve. However, little is known about the association between vitamin D and OAG. The present study was conducted to test the hypothesis that lower vitamin D status is associated with greater prevalence of O
- PMID 24476947
- Glaucoma management: relative value and place in therapy of available drug treatments.
- Sambhara D1, Aref AA2.Author information 1University of Illinois College of Medicine at Peoria, Peoria, IL, USA.2Illinois Eye and Ear Infirmary, 1855 West Taylor Street, Suite 3.171, Chicago, IL 60612, USA.AbstractLowering intraocular pressure (IOP) is the only proven therapeutic intervention for glaucomatous optic neuropathy. Despite advances in laser and microsurgical techniques, medical IOP reduction remains the first-line treatment option for the majority of patients with open-angle glaucoma. Prostaglandin analogs are the most efficacious topical agents and carry a remarkable safety profile. Topical beta-blockers, alpha-agonists, and carbonic anhydrase inhibitors are often employed as adjunctive agents for further IOP control. Newer preserved and nonpreserved formulations are available and appear to be less toxic to the ocular surface. Oral carbonic anhydrase inhibitors, miotic agents, and hyperosmotics are infrequently used due to a host of potentially serious adverse events. Medical therapies on the horizon include rho-kinase inhibitors, neuroprotective interventions, and gene therapies.
- Therapeutic advances in chronic disease.Ther Adv Chronic Dis.2014 Jan;5(1):30-43.
- Lowering intraocular pressure (IOP) is the only proven therapeutic intervention for glaucomatous optic neuropathy. Despite advances in laser and microsurgical techniques, medical IOP reduction remains the first-line treatment option for the majority of patients with open-angle glaucoma. Prostaglandi
- PMID 24381726
Japanese Journal
- Reduced Fibrinolytic Activity in Aqueous Humor of Chronic Simple Glaucoma
- MEHRA K. S.,DUBE B.,MIKUNI Ikuo,DUBE R. K.
- Tokai journal of experimental and clinical medicine 9(1), 33-34, 1984-03
- … Fibrinolytic activity of aqueous humor was tested by the Astrup fibrin plate lysis technique in 7 patients who had chronic simple glaucoma and was compared with a control group of 7 patients with senile cataract. … The plasminogen activator content of aqueous humour in glaucoma patients was remarkably reduced; …
- NAID 110004691074
- Contrast sensitivity and visual disability in chronic simple glaucoma
- A comparative study of visual field defects seen in patients with low-tension glaucoma and chronic simple glaucoma
Related Links
- Chronic simple glaucoma (chronic open angle glaucoma (COAG)) occurs when the intra-ocular pressure is raised over several months. The eye remains white and painless but there is insidious damage to the retina ...
- Chronic open-angle glaucoma is a painless condition which causes damage to the optic nerve at the back of your eye and can affect your vision. The person affected is not aware they have it: it is detected by an optician ...
★リンクテーブル★
[★]
- 英
- primary open-angle glaucoma, POAG
- 同
- 原発性開放隅角緑内障、慢性単性緑内障 chronic simple glaucoma
- 関
- 緑内障
リスクファクター
- 年齢、黒人、家族歴、眼圧、その他(近視、偽落屑、拡張期低灌流圧(low diastolic perfusion pressure), 心血管疾患、高血圧([[systemic hypertension)、糖尿病、甲状腺機能低下症)
病態
- 前眼房は正常であるが、視神経乳頭や視野に緑内障性視神経症の所見が認められる。
- 初期には乳頭から耳上側、耳下側に弓状、楔状のやや暗赤色に見える部分が出現し、その部分お神経線維が消失し網膜神経線維層欠損を来す。これにより視野欠損(傍中心暗点、ザイデル暗点、ブエルム暗点)が認められるようになる。
症状
- 両側性に発症
- 初期には症状なく、視野狭窄が初発症状となる。
- 疼痛(眼痛)、充血は認められない。
検査
- 緑内障性の変化:傍中心暗点 → Seidel暗点 → Bjerrum暗点 → Roenne鼻側階段 → 中心視野のみreserve
参考
- http://www.nichigan.or.jp/member/guideline/glaucoma2.jsp
- 2. [charged] Open-angle glaucoma: Epidemiology, clinical presentation, and diagnosis - uptodate [1]
国試
[★]
- (比較級simpler-最上級simplest)単純な、簡便な、シンプルな、簡素な、単一の、単一性の、単純性の
- 関
- convenient、mono、parsimonious、plain、simplex、simplicity、simply、single、unity
[★]
- 関
- chronically、chronicity
[★]
単純緑内障
- 関
- open-angle glaucoma、pigmentary glaucoma