Reddy P S
Yan Ke Xue Bao. 1992 Jun;8(2):56-8.
Primary open angle glaucoma is the second most important cause of permanent blindness in the Asia-Pacific region. Thus it is very important to identify epidemiological and other risk factors which are associated with open angle glaucoma. The risk for glaucoma optic nerve damage increases with the age and with the level of the intraocular pressure. In this paper, I will highlight our study of several risk factors for development of the open angle glaucoma like (1) elevated intraocular pressure, (2) myopia, (3) suspicious large optic disc cup, (4) cupping with disc haemorrhages and (5) nerve fibre defect. The general and systemic conditions which are implicated as risk factors are (1) family history of glaucoma. (2) increase in age, (3) diabetes mellitus, (4) cardiovascular conditions like central retinal vein occlusion etc. (5) the endocrine disorders with increased thyroid and increased corticosteroids responsiveness in patients with glaucoma will be discussed.
原发性开角型青光眼是亚太地区导致永久性失明的第二大重要原因。因此,识别与开角型青光眼相关的流行病学及其他风险因素非常重要。青光眼性视神经损伤的风险会随着年龄和眼压水平的升高而增加。在本文中,我将重点介绍我们对开角型青光眼发病的几个风险因素的研究,比如:(1)眼压升高;(2)近视;(3)可疑的大视盘杯;(4)伴有视盘出血的杯状凹陷;(5)神经纤维缺损。被认为是风险因素的一般和全身状况包括:(1)青光眼家族史;(2)年龄增长;(3)糖尿病;(4)心血管疾病,如视网膜中央静脉阻塞等;(5)青光眼患者甲状腺功能亢进和皮质类固醇反应性增加的内分泌紊乱情况也将进行讨论。