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在视网膜中央静脉阻塞中,是否存在导致虹膜红变的特定潜在医学状况?

Are there medical conditions specifically underlying the development of rubeosis in central retinal vein occlusion?

作者信息

Keenan J M, Dodson P M, Kritzinger E E

机构信息

Moorfields Eye Hospital, London, UK.

出版信息

Eye (Lond). 1993;7 ( Pt 3):407-10. doi: 10.1038/eye.1993.80.

Abstract

Two hundred and thirty five patients with central retinal vein occlusion (mean age 64.9 years, 95% CI (63.3, 66.5) years), comprising 221 white Europeans, 10 Asians and 4 West Indians) were studied over a 7 year period of whom 13.2% (n = 31) developed rubeosis (mean age 70.1 years, 95% CI (66.3, 73.9) years; all white Europeans). Comparisons were made with 31 of the original 235 CRVO patients who did not develop rubeosis, and who were individually matched for age, sex and ethnic origin. The 31 patients developing rubeosis were significantly older (p = 0.013) than the 204 patients not developing rubeosis (mean age 64.1 years, 95% CI (62.3, 65.9) years). There was no significant difference between the CRVO group with rubeosis and the uncomplicated matched CRVO group in the prevalence rates of hypertension (64.5% vs. 45.2%), hyperlipidaemia (48.4% vs. 38.7%) or diabetes mellitus (9.7% vs. 12.9%). We conclude that neovascular glaucoma is more likely to occur in older subjects with CRVO.

摘要

在7年的时间里,对235例视网膜中央静脉阻塞患者(平均年龄64.9岁,95%置信区间(63.3, 66.5)岁)进行了研究,其中包括221名欧洲白人、10名亚洲人和4名西印度人。13.2%(n = 31)的患者发生了虹膜新生血管(平均年龄70.1岁,95%置信区间(66.3, 73.9)岁;均为欧洲白人)。将这些患者与最初235例未发生虹膜新生血管的视网膜中央静脉阻塞患者中的31例进行比较,这31例在年龄、性别和种族方面进行了个体匹配。发生虹膜新生血管的31例患者比204例未发生虹膜新生血管的患者(平均年龄64.1岁,95%置信区间(62.3, 65.9)岁)年龄显著更大(p = 0.013)。发生虹膜新生血管的视网膜中央静脉阻塞组与无并发症的匹配视网膜中央静脉阻塞组在高血压患病率(64.5%对45.2%)、高脂血症患病率(48.4%对38.7%)或糖尿病患病率(9.7%对12.9%)方面无显著差异。我们得出结论,新生血管性青光眼更易发生于年龄较大的视网膜中央静脉阻塞患者。

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