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探讨青光眼的发病特点及早期诊断治疗

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目的:探讨青光眼临床发病特点,并对早期诊断治疗进行分析讨论。方法对18例(24眼)青光眼的性别,发病年龄、视力、眼压、房角、眼底、视野等相关参数以及治疗情况,进行回顾性分析。结果男性4例占22.2%,女性14例占77.8%。治疗前高眼压小于22mmHg共计3眼占12.5%,24.38-32.5mmHg共计6眼占25.0%,4.18-55.62mmHg者10眼占41.7%,61.75mmHg共计5眼占20.8%。房角:开角6眼,闭角18眼。视乳头杯凹均显不同程度扩大,C/D大于0.6者共计5眼占20.8%,0.6-0.8以上者共计19眼占79.2%。视野有不同程度损害管状视野7眼(占29.2%)。本组18例患者中有1眼行现代囊外摘除术,5眼行巩膜瓣下咬切术,占25.0%,18例患者都行药物保护治疗,效果良好。结论青光眼一般发病急,且严重危害视功能,早期预防、诊断与治疗十分重要,对于早期患病较轻者一般采取药物保守治疗。
Objective To investigate the clinical characteristics of glaucoma in early diagnosis,and treatment are analyzed and discussed.Methods 18 cases(24 eyes)of glaucoma in gender,age,visual acuity,intraocular pressure,fundus,visual field angle,and other related parameters and treatment,were retrospectively analyzed. Results 4 cases of male 22.2%,female 14 cases accounted for 77.8%.Treatment of high intraocular pressure is less than 22mmHg total of 3 eyes of 12.5%,a total of 6 eyes of 24.38-32.5mmHgaccounted for 25%,4.18-55.62mmHg accounted for 41.7%of 61.75mmHg in 10 eyes,5 eyes 20.8%.Angle:the angle of 6 eyes,18 eyes with angle closure.Optic cup concave showed different degrees of expansion,C/D is more than 0.6,a total of 5 eyes of 20.8%0.6-0.8 or more,a total of 19 eyes of 79.2%.Visual field damage tubular visual field in 7 eyes(29.2%).This group of 18 patients,1eyes underwent extra capsular cataract extraction,5 eyes underwent sclera Resection,accounted for 25%of all drugs,patients with protective therapy in 18 cases,good results.Conclusion The general incidence of acute glaucoma,andseri-ous damage of visual function,early prevention,diagnosis and treatment is very important for early disease,lesser generally take medicine conservative treatment.

GlaucomaPathogenesisDiagnosisTreatment

黄洲基

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河南省信阳中心医院眼科,河南 信阳 464000

青光眼 发病特点 早期诊断 治疗

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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