Steffen H
Universitäts-Augenklinik, Josef-Schneider-Str. 11, 97080, Würzburg, Deutschland.
Ophthalmologe. 2011 Jul;108(7):624-7. doi: 10.1007/s00347-010-2293-6.
In children with congenital glaucoma the functional long-term result is often disappointing even if the intraocular pressure is well controlled. The reason for this discrepancy is attributed to amblyogenic factors responsible for interfering with normal visual development. These amblyogenic factors are corneal edema, irregular astigmatism and non-corrected ametropia as monocular causes. Binocular causes are anisometropia-induced suppression and strabismus. Full ametropic correction and a very early prophylaxis and treatment of amblyopia with a close follow-up are mandatory to reduce amblyogenic visual impairment in children with congenital glaucoma.
在先天性青光眼患儿中,即使眼压得到良好控制,长期功能结果往往也令人失望。这种差异的原因归因于导致干扰正常视觉发育的致弱视因素。这些致弱视因素包括角膜水肿、不规则散光和未矫正的屈光不正等单眼病因。双眼病因是屈光参差引起的抑制和斜视。为减少先天性青光眼患儿的致弱视性视力损害,必须进行充分的屈光矫正,并尽早对弱视进行预防和治疗,同时密切随访。