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目的本文分析糖皮质激素型青光眼(GlucocorticoidInducedGlaucomd)(GIG),了解其发病机理、发病原因、治疗预防的重要性。方法与结果总结本院5年来医治的GIG46例91眼,主要集中在青少年8岁至35岁之间。其发病原因主要是长期用糖皮质激素滴眼液glucocorticoideyedrops(GC)引起。治疗:首先是停药,然后保守治疗降眼压。眼压不降需尽快行抗青光眼手术。91眼中有52眼作抗青光眼手术治疗,有6例复发,术后视功能均有恢复。本文较详细分析发病原因、机理,指出高危险因素病人避免用GC,可用非甾类眼液,用了GC眼液者要紧密的观察,应减少用药次数及浓度。结论
Purpose This article analyzes GlucocorticoidInducedGlaucomd (GIG), to understand the pathogenesis, etiology, prevention of the importance of treatment. Methods and Results The 91 eyes of 46 patients with GIG treated in our hospital over the past five years are mainly focused on young people aged 8 to 35 years old. The main cause of the disease is long-term glucocorticoideyedrops (GC) caused by glucocorticoid eye drops. Treatment: The first is withdrawal, and then conservative treatment of intraocular pressure. Intraocular pressure does not fall as soon as possible anti-glaucoma surgery. Among 91 eyes, 52 eyes were treated with anti-glaucoma surgery and 6 cases had recurrence. Visual function was recovered after operation. This article analyzes in detail the causes and mechanisms of pathogenesis, points out that high-risk patients avoid using GC, available non-steroidal eye drops, with GC eye drops should be closely observed, should reduce the frequency and concentration of medication. in conclusion