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目的分析原发性窄角型开角型青光眼的临床特点。方法收集2001年12月-2006年4月在许昌市中心医院治疗的原发性窄角型开角型青光眼47眼的临床资料,进行总结、分析。结果①房角镜情况:房角结构全部可见13眼,可以看到巩膜突25眼,只能看到全部小梁和光切线移位9眼。②首次就诊确诊16眼,误诊31眼。误诊情况如下:误诊为急性闭角型青光眼急性发作的4眼,误诊为急性闭角型青光眼慢性期的9眼,误诊为慢性闭角型青光眼14眼,已行周边虹膜切除后残余性青光眼4眼。③有急性发作者17眼,没有急性发作者30眼。④入院时的眼压平均为(49.54±4.48)mmHg,随访2年后的平均眼压为(16.25±4.86)mmHg,均没有用药。经统计学处理,手术前后的眼压差异有显著性(P<0.01)。结论原发性窄角型开角型青光眼具有窄房角,眼压升高时小梁网开放;可以有急性发作,容易误诊;临床的确诊要靠房角镜检查;要按开角型青光眼进行治疗。
Objective To analyze the clinical features of primary narrow-angle open-angle glaucoma. Methods The clinical data of 47 patients with primary narrow-angle open-angle glaucoma treated in the Central Hospital of Xuchang from December 2001 to April 2006 were collected and analyzed. Results ① gonocular conditions: all of the 13 structures can be seen angle structure, you can see the scleral protrusion 25, can only see all the trabeculectomy and light tangent shift 9 eyes. ② The first visit diagnosed 16 eyes, misdiagnosed 31 eyes. Misdiagnosis was as follows: misdiagnosed as acute angle-closure glaucoma 4 cases of acute attack, misdiagnosed as acute angle-closure glaucoma, 9 cases of chronic phase, misdiagnosed as chronic angle-closure glaucoma 14, after the line of peripheral iridotomy residual glaucoma 4 eye. There are 17 cases of acute onset, there is no acute attack in 30 eyes. ④ The mean IOP at admission was (49.54 ± 4.48) mmHg, mean IOP at 2 years after follow-up was (16.25 ± 4.86) mmHg, with no medication. Statistically, there was significant difference in IOP before and after operation (P <0.01). Conclusions The primary narrow-angle open-angle glaucoma has a narrow angle. The trabecular meshwork is open when the intraocular pressure is increased. It may have an acute attack and is easily misdiagnosed. Clinical diagnosis should be based on gonioscopy. Open-angle glaucoma For treatment.