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[格雷夫斯病浸润性水肿性突眼患者的眼内流体动力学]

[Ocular hydrodynamics in patients with infiltrative-edematous exophthalmos in Graves' disease].

作者信息

Wasowska M, Janik J, Zgliczyński S

机构信息

Kliniki Okulistycznej II Wydziału Lekarskiego, AM w Warszawie, Poland.

出版信息

Klin Oczna. 1990 Dec;92(11-12):237-8.

PMID:2090872
Abstract

Hydrodynamics of the eyes was investigated in 57 patients with exophthalmos, with various degree of infiltrative changes. Open angle glaucoma was not found in any case. In 12 eyes (10.5 p.c.) one observed a raised IOP (over 21 mm Hg)--checked by means, of an applanation tonometer with the patient looking straight on; in 24 eyes (18.4 p.c.) the IOP was near the upper limit of the normal pressure. Characteristic for glaucoma pathological changes of the optic disc and the visual field were absent in examined patients. All of them had the filtration angle open. The authors found a statistically significant dependency between the IOP and the degree of changes in the motor muscles, conjunctival tissue and in the lids. The authors suggest that the changes in the intraocular pressure have an external cause and stem from the disturbances of the venous circulation with exclusion of the primary hypertension.

摘要

对57例患有不同程度浸润性改变的突眼患者的眼部流体动力学进行了研究。所有病例均未发现开角型青光眼。在12只眼(10.5%)中,用压平眼压计在患者直视时测量发现眼压升高(超过21 mmHg);在24只眼(18.4%)中,眼压接近正常压力上限。在所检查的患者中,未发现青光眼特征性的视盘和视野病理改变。他们的滤过角均开放。作者发现眼压与眼外肌、结膜组织及眼睑的改变程度之间存在统计学上的显著相关性。作者认为眼压变化有外部原因,是由静脉循环障碍引起的,排除了原发性高血压。

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