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儿童青光眼的发病率与预后。63例病例研究。

Incidence and prognosis of childhood glaucoma. A study of 63 cases.

作者信息

Barsoum-Homsy M, Chevrette L

出版信息

Ophthalmology. 1986 Oct;93(10):1323-7. doi: 10.1016/s0161-6420(86)33569-3.

DOI:10.1016/s0161-6420(86)33569-3
PMID:3785892
Abstract

Sixty-three consecutive cases (95 eyes) of glaucoma in children were studied. Glaucoma associated with congenital anomalies (group II) formed the largest group in this study. This accounted for 46% of the cases compared to primary congenital glaucoma (group I) that accounted for 22.2%. Secondary glaucoma (group III) occurred in 31.8%. The presenting signs and symptoms in group I were tearing and corneal edema. In 50% of the cases in groups II and III, diagnosis was made on a routine ophthalmologic examination. Surgery was performed in 95.8% of eyes in group I, 53.2% in group II, and 54.2% in group III. The best visual prognosis occurred in group I where 77.3% of affected eyes had visual acuity equal to or better than 20/50 with good pressure control in all. This was followed by group II where 41.5% had vision equal to or better than 20/50 and 41.4% had 20/200 vision or less. Intraocular pressure remained uncontrolled in 19.1% of this group. The worst prognosis and morbidity was found in group III where 30.5% of eyes had 20/50 vision or better and 47.8% had 20/200 vision or less. In group III, 33.3% had uncontrolled intraocular pressure.

摘要

对63例(95只眼)儿童青光眼患者进行了连续研究。与先天性异常相关的青光眼(II组)在本研究中占最大比例。该组病例占46%,而原发性先天性青光眼(I组)占22.2%。继发性青光眼(III组)占31.8%。I组的主要体征和症状为流泪和角膜水肿。II组和III组中50%的病例是在常规眼科检查时确诊的。I组95.8%的患眼接受了手术,II组为53.2%,III组为54.2%。I组的视觉预后最佳,77.3%的患眼视力等于或优于20/50,且眼压均得到良好控制。其次是II组,41.5%的患眼视力等于或优于20/50,41.4%的患眼视力为20/200或更低。该组19.1%的患眼眼压仍未得到控制。预后最差且发病率最高的是III组,30.5%的患眼视力为20/50或更好,47.8%的患眼视力为20/200或更低。III组中33.3%的患眼眼压未得到控制。

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