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为了解青光眼盘治及RNFL改变的相互关系，评价各种眼底视神经监测方法的敏感性，本研究采用两种方法进行青光眼视神经的随诊监测，①常规法：并排投影显示法监测盘沿及RNFL的改变，②闪烁法：立体视下图象闪烁比较法监测盘沿的改变，将先后两次照的立体象对校正，交替显示两幅叠加好的立体象对，变化的部分有跳动感。随诊的青光眼、可疑青光眼451例，836只眼，平均随诊期2．8±1．3年。发现有盘沿改变者用常规法仅23例，而用闪烁法高达90例，其局限性、弥漫性最小改变量分别为0．032mm2及0．048mm2。用闪烁法对盘沿的监测与常规法对RNFLD监测的比较，对于局限性改变，采用闪烁法有盘沿丢失28例，其中12例不伴RNFLD的改变，而采用常规法有RNFLD改变者的17例，其中仅1例不伴有盘沿丢失。对于弥漫性改变者，采用闪烁法有盘沿改变的26例，其中不伴RNFLD改变者有20例。采用常规法有RNFLD改变者6例，此6例均伴有盘沿丢失。
In order to understand the relationship between glaucoma treatment and RNFL changes and to evaluate the sensitivity of various methods of fundus optic nerve monitoring, this study used two methods to monitor the optic nerve of the glaucoma. (1) The routine method: side-by-side projection display method Changes, ② flicker method: three-dimensional image flicker comparison method to monitor changes in the edge of the disc, will have two photos of stereo pair correction, alternating two superimposed stereopair, the change part of a sense of beating. Followed by glaucoma, suspicious glaucoma 451 cases, 836 eyes, the average follow-up period of 2.8 ± 1.3 years. Found that there are only 23 cases of disc change with the conventional method, and up to 90 cases with scintigraphy, the limitations of diffuse minimum changes were 0.032mm2 and 0.048mm2. Scintigraphy using the scintillation method of monitoring and routine RNFLD monitoring compared to the limitations of changes in the use of scintigraphy there are 28 cases of disc edge loss, of which 12 were not associated with changes in RNFLD, and routine use of RNFLD changes were 17 cases, of which only 1 case is not associated with disc edge loss. For diffuse changes, the use of scintigraphy with disc changes in 26 cases, including those without changes in RNFLD 20 cases. There are 6 cases of RNFLD change by conventional method, all of which are lost along the rim.