【摘要】 目的 从临床角度探讨青少年开角型青光眼发病特点,指导其早期诊断、治疗、预后。 方法 统计1985~2000年在我院门诊或病房就诊的青少年开角型青光眼患者共计168例336眼,进行多方面的统计分析。 结果 168例患者中,男92例(54.80%),女76例(45.20%);并发近视眼患者284眼(84.50%)。治疗前最高眼压:小于21mmHg者106眼(31.50%),21~25mmHg者76眼(22.68%),26~30mmHg者96眼(28.60%),31~40mmHg者35眼(10.40%),大于40mmHg者23眼(6.80%)。C/D情况:C/D<0.6者视野缺损率65.60%,房角全部为开角,有阳性家族史者26例占15.48%。本组除16眼需手术治疗外,其余药物治疗均取得较好疗效。 结论 青少年开角型青光眼是一种危害较大的疾患,早期发现,早期诊断,早期治疗非常重要,在本病近视眼有高度的发病率,应慎重对待近视眼患者。 Clinical analysis of168cases of juvenile open angle glaucoma
Zhang Hongliang,Wu Yanjun
Anyang Ophthalmic Hospital,Henan455000 【Abstract】 Objective To study the clinical chateracter of the juvenile open angle glaucoma and to point out its early diagnosis,treatment and prognosis.Methods 336eyes of168cases were counted in out-patient department or in ward from1985to2000,and these juvenile open angle glaucoma were analyzed and compared in many aspects.Results In168cases,male were92cases(50.80%),and female were92cases(45.20%).284eyes(84.50%)were compli-cated with myopia.The highest intraocular press(20p)before treatment was as follow:There were106eyes with Iop>21mmHg.6eyes(22.68%)were21~25mmHg.96eyes(28.60%)were26~30mmHg.35eyes(10.40%)were31~40mmHg.There were23eyes with Iop>40mmHg.C/D of patients with open angle whose visual rate was65.60%was<0.6.26cases(9.70%)had positive family history.These cases got better effects with medication except that16eyes had to have surgical therapy.Conclusion Juvenile open angle glaucoma is a kind of disease with hazardness and it is very important to early find,dignose and therapy.Myopia has high disease rate to this disease,so the myopia patients should be treated seriously.
Key words juvenile open angle glaucoma myopia early dignosis