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先天性青光眼62例104眼临床观察

Clinical observations on congenital glaucoma (a report of 104 eyes in 62 cases)

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【作者】 陈美兰;

【Author】 Chen Meilan Department of ophthalmologoy, The First Affiliated Hospital Henan Medical University

【机构】 河南医科大学一附院眼科;

【摘要】 报告62例104眼先天性青光眼,男性多发,双眼发病多见,占69.35%,1岁内发病占88.71%,农村发病比城市多见,有遗传倾向,有家族史占6.45%。此病仍以散发多见。临床特征为畏光、流泪、视力差、角膜大而混浊、眼球扩张、前房深、典型病人早期诊断并不困难,但易被家长忽视,需加强科普宣传和普检工作。此病年龄越大,病程越长,视力越差,眼底改变越大。早期诊断、早期手术是合理正确的治疗方案。

【Abstract】 104 eye in 62 patients with congenital glaucoma are reported. The dis ease was often found in male, and binocular involvement was common about 69.35%. Most of the patients (88.71%)were found in infants of one year of age.The incidence of the the disease in the ruralarea was higher than that in the city. Only 6.45% of the patients had family history,The disease was usually Sporadic Congenital glaucoma was characterized by photophobia, tearing decreased vision, cloudy macrocornea, dilation of the eyeball, and deep anterior chamber. It is easy to make early disgnosis of the disease for typical patientsIt is necessary to carry out propaganda for the Inowlege about the disease among the masses so that parents may not neglecte the disease if their bady has suffered from the disease in early stage.The older the patients were and the long.the disease lasted, the owrse the patient’s vision was and the more the (?)ges taking place in fundus.It should be emphasized that early should be made so that we can operate on the patients in early stage of the disease and good results can be avhiev ed.

【关键词】 先天性青光眼; 遗传; 诊断; 治疗;
【Key words】 congenital glaucoma; heredity; dignosis; therapy;
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