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青少年糖皮质激素性青光眼10例临床分析

Analysis of 10 cases of adolescent glucocorticoid-induced glaucoma

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【作者】 赵薇; 李才锐; 洪卫;

【Author】 Wei Zhao,Cai-Rui Li,Wei Hong Department of Ophthalmology and Clinical Research Center,the Affiliated Hospital of Dali University,Dali 671000,Yunnan Province,China

【机构】 大理学院附属医院眼科; 大理学院临床医学研究中心;

【摘要】 目的:回顾性分析近2a内10例20眼激素性青光眼的发病原因和相关治疗情况,对激素性青光眼做到早期发现,及时治疗。方法:对我院2008-01/2010-07诊断的10例20眼激素性青光眼进行分析。结果:青少年激素性青光眼的病因分为过敏性结膜炎5例10眼(50%),春季卡他性结膜炎2例4眼(20%),LASIK术后3例6眼(30%),使用激素点眼的原因已过敏性结膜炎最多。使用时间为3wk~18mo,有开角型青光眼的临床表现。结论:引起激素性青光眼的发病机制较为复杂,青少年对眼压的耐受性高,贻误诊断则视功能损伤严重,预防和早期诊断该病是挽救患者视力的重要途径。

【Abstract】 AIM:To analyze the etiopathogenisis and therapeutic conditions of glucocorticoid-induced glaucoma,and discover it earlier and treat it in time. ·METHODS:Retrospectively,10 cases 20 eyes with glucocorticoid-induced glaucoma from January 2008 to July 2010 in our hospital were analyzed.·RESULTS:According its etiopathogenisis,it concluded 5 cases 10 eyes(50%) of allergic conjunctivitis,2 cases 4 eyes (20%)of vernal conjunctivitis,3 cases 6 eyes(30%) of LASIK surgery. The majority of glucocorticoid-induced glaucoma was caused by allergic conjunctivitis. Follow-up time was from 3 weeks to 18 months. All patients had clinical manifestations of open angle glaucoma.·CONCLUSION:The pathogenesis of glucocorticoid-induced glaucoma is complex,while adolescent can endure high intraocular pressure; misdiagnosis can induce serious visual function damage,prevention and early diagnosis is very important for retrieving vision.

【关键词】 糖皮质激素; 眼压; 近视;
【Key words】 glucocorticoid; intraocular pressure; myopia;
  • 【文献出处】 国际眼科杂志 ,International Journal of Ophthalmology , 编辑部邮箱 ,2010年12期
  • 【分类号】R775
  • 【被引频次】2
  • 【下载频次】156
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