Leydhecker W
Ophthalmologica. 1979;178(1-2):32-6. doi: 10.1159/000308803.
'Juvenile glaucoma' is a meaningless term which should not be used. Glaucoma in young subjects can be hydrophthalmus, secondary or simple glaucoma. In this paper, early simple glaucoma is described in 15 patients (8 males, 7 females) below the age of 30 years, starting in some subjects already at 8 years of age. Inheritance was dominant in 6 patients. Anticipation could be shown in 2 pedigrees through 4 and 5 generations, respectively. The course of the disease was severe in 8 patients, with intraocular pressures over 40 mm Hg and/or heavy functional loss. There were usually no subjective symptoms. The chamber angles were gonioscopically normal in all patients. Miotics were effective but did not normalize the intraocular pressure. Surgical treatment is discussed.
“青少年青光眼”是一个毫无意义的术语，不应使用。年轻患者的青光眼可以是水眼症、继发性青光眼或原发性青光眼。本文描述了15例30岁以下的早期原发性青光眼患者（8例男性，7例女性），其中一些患者在8岁时就已发病。6例患者为显性遗传。在2个家系中分别通过4代和5代显示出遗传早现现象。8例患者病情严重，眼压超过40毫米汞柱和/或有严重的功能丧失。通常没有主观症状。所有患者的房角在房角镜检查下均正常。缩瞳剂有效，但不能使眼压恢复正常。文中讨论了手术治疗方法。
