目的比较正常眼与近视眼视网膜神经纤维层的厚度,减少青光眼的误诊。方法选取不同轴长眼用HRT盲法测定其神经纤维层厚度。结果眼轴大于27毫米组与正常组相比,其神经纤维层厚度显著性下降(P<0.05),眼轴小于27毫米各组与正常组相比,其神经纤维层厚度无显著性改变(P>0.05)。结论对轴性高度近视患者采用神经纤维层厚度下降来辅助诊断早期青光眼时应采用不同的指标。 Objective To compare the thickness of retinal nerve fiber layer in normal and myopic eyes and reduce the misdiagnosis of glaucoma. Methods The thickness of nerve fiber layer was measured by HRT blind method. Results Compared with the normal group, the thickness of the nerve fiber layer was significantly decreased (P <0.05) and the axial length was less than 27 mm. Compared with the normal group, there was no significant change in the thickness of the nerve fiber layer P> 0.05). Conclusions For patients with axial high myopia, different indexes should be used to reduce the thickness of nerve fiber layer in the diagnosis of early glaucoma.