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青光眼和高眼压症中的视网膜血管病变。

Retinal vascular accidents in glaucoma and ocular hypertension.

作者信息

Luntz M H, Schenker H I

出版信息

Surv Ophthalmol. 1980 Nov-Dec;25(3):163-7. doi: 10.1016/0039-6257(80)90093-4.

DOI:10.1016/0039-6257(80)90093-4
PMID:7466595
Abstract

The incidence of primary open angle glaucoma in patients with central retinal vein occlusion is reported to be between 5.7 and 66%, while that of primary angle closure glaucoma is from 0 to 9%. (Corrected for the relative incidence of these two types of glaucoma in the general population, these rates are comparable). There appears to be a causal relationship between elevated intraocular pressure and central retinal vein occlusion, which does not correlate with the height to which the pressure is elevated. Other etiologic factors may be important, particularly arteriosclerosis. The association between elevated pressure and branch vein occlusion is less clear. Central vein occlusions occur in 3.5 to 5% of patients with primary open angle glaucoma. Similarly, central vein occlusions occur in approximately 3% of patients with ocular hypertension. It is recommended that ocular hypertensive patients over the age of 65 be treated to lower their pressure below 25 mm Hg.

摘要

据报道,视网膜中央静脉阻塞患者原发性开角型青光眼的发病率在5.7%至66%之间,而原发性闭角型青光眼的发病率为0%至9%。(根据这两种类型青光眼在普通人群中的相对发病率进行校正后,这些比率具有可比性)。眼内压升高与视网膜中央静脉阻塞之间似乎存在因果关系,这与压力升高的幅度无关。其他病因可能也很重要,尤其是动脉硬化。压力升高与分支静脉阻塞之间的关联尚不清楚。原发性开角型青光眼患者中3.5%至5%会发生中央静脉阻塞。同样,高眼压症患者中约3%会发生中央静脉阻塞。建议对65岁以上的高眼压症患者进行治疗,将眼压降至25 mmHg以下。

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