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[先天性青光眼(关于58例)]

[Congenital glaucoma (apropos of 58 cases)].

作者信息

Seye N C, Ba E A, Ndiaye M R, Ndoye N B, Ndiaye P A, Wade A

机构信息

Clinique Ophtalmologique CHU Le Dantee-Dakar, Sénégal.

出版信息

Dakar Med. 1994;39(1):87-93.

PMID:7493528
Abstract

In a retrospective study on 10 years, the authors analyse epidemiological clinical and therapeutic aspects of congenital glaucoma. From 1979 to 1989, 58 cases of congenital glaucoma were found in children between 0 and 12 years, of which 53 bilateral and 5 unilateral cases (111 eyes). The frequency of 0.10% is considered high. According to studies carried out by Europeans, it is estimated between 0.01 and 0.024%. The authors stressed the important rate of consanguinity (46.5%) and masculine prevalence (74.1%). Disappointing therapeutic results and bad prognostic depend on the advanced cases of clinical forms found during the first consultation. The authors advocate preventive measures by genetic counsel and an early surgical treatment for best functional results.

摘要

在一项为期10年的回顾性研究中,作者分析了先天性青光眼的流行病学、临床和治疗方面。1979年至1989年期间,在0至12岁的儿童中发现了58例先天性青光眼,其中53例为双侧病例,5例为单侧病例(共111只眼睛)。0.10%的发病率被认为较高。根据欧洲人开展的研究,估计发病率在0.01%至0.024%之间。作者强调了近亲结婚率较高(46.5%)以及男性患病率较高(74.1%)。令人失望的治疗结果和不良预后取决于初诊时发现的临床症状晚期病例。作者主张通过遗传咨询采取预防措施,并尽早进行手术治疗以获得最佳功能效果。

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