臨床眼科74巻5号

2020年05月発行

特集 第73回日本臨床眼科学会講演集［3］ 特別講演

患者に寄り添う網膜色素変性の診療

著者： 山本修一¹

所属機関： ¹千葉大学大学院医学研究院眼科学

ページ範囲：P.535 - P.544

　現在，ほとんどの眼疾患において何らかの治療手段が得られるが，網膜色素変性（RP）だけは治療法が存在せず，「最後の不治の眼病」として取り残されている。一般にRPの患者は難病申請のために年一度来るだけで，眼科医は視力と視野を測って眼底を診て，「変わりありませんね」の一言。「見えなくなった」と言っている患者は，がっかりして帰る。しかし，眼底写真では捉えられない微細な形態変化を，OCTなら定量的に評価でき，視野も網膜感度を測れば，患者の「見えなくなった」を正しく評価できる。また，RPの治療法開発に向けた研究は，世界的にかつてない盛り上がりを見せている。日常診療も臨床研究も諦めずに，患者に寄り添い続ける。

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