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目的从临床角度探讨青光眼发病特点,并对早期诊断治疗进行分析讨论。方法对16例2(2眼)青光眼的性别,发病年龄、视力、眼压、房角、眼底、视野等有关参数以及治疗情况,进行回顾性分析。结果男性3例占10.75%,女性13例占81.25%。年龄偏大平均63.8岁,治疗前高眼压<21mmHg 2眼(占9.09%),24.38～31.2mmHg 5眼占(22.73%)40.17～50.62mmHg者11眼(占50%),61.75mmHg 4眼(占18.18%)。视乳头杯凹均显不同程度扩大,C/D>0.6者4眼(占18.18%),0.6～0.8以上者18眼(占81.82%)。视野有不同程度损害其中管状视野8眼(占36.36%)。房角:闭角16眼,开角6眼。本组4眼行巩膜瓣下咬切术,1眼行现代囊外摘除术,占22.72%。18眼均行药物保护治疗,效果良好。结论青光眼是一种严重危害视功能的疾病,对早期轻病患者大部分采取药物保守治疗。对晚期或重症患者,以及用药物保守治疗未能满意控制眼压者应及时施行手术治疗。
Objective To investigate the characteristics of glaucoma from a clinical perspective and to analyze and discuss the early diagnosis and treatment. Methods The data of the sex, age of onset, visual acuity, intraocular pressure, angle of the anterior chamber, fundus, visual field and other related parameters of 16 patients with 2 (2 eyes) glaucoma were analyzed retrospectively. Results Three males accounted for 10.75% and 13 females 81.25%. The average age was 63.8 years old, with pre-treatment intraocular pressure <21mmHg 2 (9.09%), 24.38 ~ 31.2mmHg 5 eyes (22.73%), 40.17 ~ 50.62mmHg 11 eyes (50%) and 61.75mmHg 4 eyes (18.18%). The degree of optic disc was significantly enlarged in 4 eyes (18.18%) with C / D> 0.6 and 18 eyes (81.82%) with 0.6 ~ 0.8 or more. There are 8 eyes (36.36%) in which the visual field has different degrees of damage to the tubular field of vision. Angle: 16 eyes closed angle, 6 eyes open angle. The group of 4 eyes under scleral flap bite resection, a line of modern extracapsular excision, accounting for 22.72%. 18 eyes were treated with drug protection, the effect is good. Conclusions Glaucoma is a serious disease that compromises visual function. Most patients with early-stage mild disease take conservative medical treatment. For advanced or critically ill patients, and conservative treatment with drugs failed to control intraocular pressure should be promptly implemented surgical treatment.