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为了探讨原发性急性闭角型青光眼高眼压对视功能的损害程度及影响视功能恢复的因素, 我们对 101 例原发性急性闭角型青光眼急性发作期患者进行研究。结果表明急性发作期患者的视力损害程度与年龄、眼压水平, 高眼压持续时间呈线性关系, 眼压越高、持续时间越长、年龄越大、视力损害越严重。视盘凹陷的形成与高眼压持续时间成正相关。患者术后视力的恢复受术前高眼压的持续时间、年龄、术前视力、术后眼压、 C/ D等综合因素的影响。结果提示对急性闭角型青光眼患者应进行紧急降眼压治疗, 缩短高眼压的持续时间以挽救和保护患者的视功能。
In order to investigate the degree of damage to visual function caused by ocular hypertension in patients with primary acute angle-closure glaucoma and the factors affecting the recovery of visual function, we investigated 101 patients with acute primary angle-closure glaucoma during acute attack. The results showed that the degree of visual impairment in patients with acute exacerbation of patients with age, intraocular pressure, ocular hypertension showed a linear relationship between duration, higher intraocular pressure, longer duration, the older, the more severe visual impairment. The formation of optic disc depression is positively correlated with the duration of ocular hypertension. The recovery of postoperative visual acuity was influenced by the preoperative ocular hypertension duration, age, preoperative vision, postoperative IOP, C / D and other factors. The results suggest that acute angle-closure glaucoma patients should be treated with emergency lowering intraocular pressure to shorten the duration of ocular hypertension in order to save and protect the patient’s visual function.