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目的 研究单侧眼发病的原发性急性闭角型青光眼患者的临床特点。方法 对 1 4例确诊为单侧眼发病的原发性急性闭角型青光眼患者双眼的视力、眼压、前房深度、房角形态、屈光状况及眼球轴长等多种参数进行分析和比较。结果 双眼前房深度 :发病眼前房轴深 ,最浅眼为1 . 4mm ,最深眼为 2 . 0 4mm ,平均为 1 . 89mm ;周边前房深度均小于 1 / 4CT或完全消失。未发病眼前房轴深 ,最浅眼为 2 4 5mm ,最深眼为 3 6 .2mm ,平均为 2 . 73mm ;周边前房深度均大于 1 / 3CT。双眼房角状态 :发病眼全部为窄Ⅳ房角 ,并且都存在不同程度的粘连闭合。未发病眼均为窄Ⅰ至宽房角 ,无粘连闭合。双眼屈光状态 :发病眼 1 4只全部为远视 ,远视度数为 + 2 0 0至 + 450度 ;未发病眼中正视 3眼 ,近视 1 1眼 ,其近视度数为 - 32. 0至 - 850度。双眼眼球轴长 :发病眼眼轴最短的为 2 0 . 8mm ,最长的为 2 2 . 5mm ,平均为 2 1 . 3mm ;未发病眼眼轴最短的为 2 3 .4mm ,最长 31mm ,平均为 2. 7 1mm。结论 前房浅、房角窄是原发性急性闭角型青光眼发病的解剖基础。并非所有的原发性急性闭角型青光眼患者都一定双眼发病 ,一只眼发生原发性急性闭角型青光眼 ,另一只眼若不存在前房浅、房角窄这一发病的解剖基础 ,则不会发生同样性质的?
Objective To study the clinical features of primary acute angle-closure glaucoma patients with unilateral ocular disease. Methods The visual acuity, intraocular pressure, anterior chamber depth, angle of the anterior chamber, refractive status and axial length of the eyes of 14 patients with primary acute angle-closure glaucoma diagnosed as unilateral ocular disease were analyzed and Compare Results The anterior chamber depth of both eyes: the incidence of anterior chamber axial depth, the most shallow eye is 1.4mm, the deepest eye is 2.04mm, an average of 1. 89mm; peripheral anterior chamber depth less than 1 / 4CT or completely disappeared. The incidence of anterior chamber axial depth, the most shallow eye is 24mm, the deepest eye is 36.2mm, an average of 2. 73mm; peripheral anterior chamber depth greater than 1 / 3CT. Binocular angle state: the incidence of all eyes narrow Narrow angle, and there are varying degrees of adhesions closed. Non-onset eyes were narrow Ⅰ to wide angle, no adhesions closed. Binocular refractive status: the incidence of eye 14 all for hyperopia, hyperopia degree of +2 0 0 to +450 degrees; unrecognized eyes 3 eyes, 11 eyes of myopia, its myopia was - 32. 0 to - 850 degrees . Eye axis length of the eyes: the incidence of ocular axial length of the shortest 20.8 mm, the longest is 22.5 mm, an average of 21.3 mm; the incidence of ocular axial shortest 23.4 mm, the longest 31 mm, An average of 2. 7 1mm. Conclusions The shallow anterior chamber and narrow angle are the anatomic basis of primary acute angle-closure glaucoma. Not all patients with primary acute angle-closure glaucoma may have binocular onset, one with primary acute angle-closure glaucoma, and the other with absence of anterior chamber superficial and narrow angle anatomical basis for the pathogenesis , Will not happen the same nature?