Cole M D, Dodson P M, Hendeles S
Birmingham and Midland Eye Hospital.
Br J Ophthalmol. 1989 Sep;73(9):693-8. doi: 10.1136/bjo.73.9.693.
Forty-three patients with glaucoma and 24 patients with ocular hypertension presenting with a retinal vein occlusion were medically assessed. The prevalence of systemic hypertension was 60.5% in those with glaucoma and 66.6% with ocular hypertension. The prevalence of hyperlipidaemia was 38.1% in those with glaucoma and 37.5% in those with ocular hypertension. These findings were compared with those from a carefully age-sex matched group of patients presenting with a retinal vein occlusion without evidence of glaucoma or ocular hypertension. There were no statistical differences between any of the groups (52.2% had systemic hypertension and 28.8% had hyperlipidaemia). There was also a strikingly high prevalence of systemic hypertension (89%) and hyperlipidaemia (55.5%) in nine of the patients who had evidence of a recurrent retinal vein occlusion associated with glaucoma, and these prevalence rates were strikingly similar to the rates in patients with recurrence but without glaucoma. The data suggest that glaucoma or ocular hypertension has a less prominent aetiological role in the development of a retinal vein occlusion than underlying medical causes and that full medical assessment is worthwhile.
对43例青光眼患者和24例伴有视网膜静脉阻塞的高眼压症患者进行了医学评估。青光眼患者中系统性高血压的患病率为60.5%，高眼压症患者中为66.6%。青光眼患者中高脂血症的患病率为38.1%，高眼压症患者中为37.5%。将这些结果与一组年龄和性别匹配、患有视网膜静脉阻塞但无青光眼或高眼压症证据的患者的结果进行了比较。各组之间无统计学差异（52.2%患有系统性高血压，28.8%患有高脂血症）。在9例有与青光眼相关的复发性视网膜静脉阻塞证据的患者中，系统性高血压（89%）和高脂血症（55.5%）的患病率也非常高，这些患病率与复发但无青光眼的患者的患病率惊人地相似。数据表明，与潜在的医学病因相比，青光眼或高眼压症在视网膜静脉阻塞的发生中病因学作用不那么突出，全面的医学评估是值得的。
