Sherpa D, Shakya S, Shrestha J K
Department of Ophthalmology, Kathmandu University School of Medical Science, Dhulikhel, Kavre, Nepal.
Kathmandu Univ Med J (KUMJ). 2008 Jan-Mar;6(1):49-54.
To determine the association of Primary glaucoma with retinal vein occlusion.
A prospective cross-sectional study was carried out in B.P. Koirala Lions Centre for Ophthalmic Studies from April 2002-July 2003. All diagnosed cases of retinal vein occlusion were evaluated in detail for the presence of primary glaucoma. Detailed history was taken. Best corrected visual acuity was recorded, slit-lamp evaluation of anterior segment was performed, intraocular pressure was assessed with the help of applanation tonometer, gonioscopy was done and fundus evaluation was done under full mydriasis.
Out of 50 patients, 19 (38%) were central retinal vein occlusion and 31(62%) were branch retinal vein occlusion. Majority of the retinal vein occlusion patients were in the age group of (61-70 years) 12 out of 50 patients (24%). There were 12 patients of primary glaucoma in 50 patients of retinal vein occlusion. Out of which 11 patients had primary open angle glaucoma and 1 patient had primary angle closure glaucoma.
This study shows association of primary glaucoma as a risk factor of retinal vein occlusion. Evaluation of retinal vein occlusion patients for primary glaucoma would be worthwhile for early detection and prevention of blindness.
确定原发性青光眼与视网膜静脉阻塞之间的关联。
于2002年4月至2003年7月在B.P. 柯伊拉腊狮子眼科研究中心开展了一项前瞻性横断面研究。对所有确诊的视网膜静脉阻塞病例进行详细评估,以确定是否存在原发性青光眼。记录详细病史。测量最佳矫正视力,通过裂隙灯评估眼前节,使用压平眼压计测量眼压,进行前房角镜检查,并在充分散瞳下进行眼底评估。
50例患者中,19例(38%)为视网膜中央静脉阻塞,31例(62%)为视网膜分支静脉阻塞。视网膜静脉阻塞患者大多在61 - 70岁年龄组,50例患者中有12例(24%)。50例视网膜静脉阻塞患者中有12例原发性青光眼患者。其中11例为原发性开角型青光眼,1例为原发性闭角型青光眼。
本研究表明原发性青光眼是视网膜静脉阻塞的一个危险因素。对视网膜静脉阻塞患者进行原发性青光眼评估对于早期发现和预防失明是有价值的。