Barkan(1938)将成年人原发性青光眼分为开角性青光眼和闭塞角性青光眼两类型,而后者较为常见,对人民健康危害性大。其发病原因至今还不够明确。本文仅就其发病机理并为大家所接受的瞳孔阻滞学说、前房角分类、原发性闭塞角青光眼的手术治疗原则和原发性闭塞角青光眼的临床发展等分别作扼要的介绍。 Barkan (1938) divided adult primary glaucoma into open-angle glaucoma and closed-angle glaucoma, which are more common and have a greater risk to people’s health. Its causes are still not clear enough. This article only on its pathogenesis and for everyone accepted the theory of pupillary block, classification of anterior chamber angle, the principle of primary surgical treatment of glaucoma and primary closure angle glaucoma clinical development were briefly introduced.