Kong L X
Department of Ophthalmology, First Teaching Hospital of Henan Medical University, Zhengzhou.
Zhonghua Yan Ke Za Zhi. 1993 May;29(3):151-3.
During 1970-1990, the authors accumulated 15 cases (26 eyes) of steroid glaucoma due to topical administration of dexamethasone or prednisolone. The patients comprised 10 men and 5 women, averaging 28 years of age. The clinical course was like chronic open angle glaucoma in 25 eyes, and 1 eye simulated an acute glaucoma attack. On presentation, the IOP was over 6.7 kPa in 9 eyes despite of antiglaucoma medication. The C/D ratio was > 0.6 in 9 cases (16 eyes), and the values were inconsistent between both eyes in 55% of the patients. Treatment was immediate discontinuation of the steroids, with antiglaucoma medication if necessary. 3 eyes were done filtering operations and 2 eyes had the subconjunctival residual steroid injection removed. Normal IOP was restored in months up to a year.
1970年至1990年间，作者积累了15例（26只眼）因局部应用地塞米松或泼尼松龙导致的类固醇性青光眼病例。患者包括10名男性和5名女性，平均年龄28岁。25只眼的临床病程类似慢性开角型青光眼，1只眼模拟急性青光眼发作。就诊时，尽管使用了抗青光眼药物，仍有9只眼的眼压超过6.7 kPa。9例（16只眼）的杯盘比> 0.6，55%的患者双眼数值不一致。治疗方法是立即停用类固醇药物，必要时使用抗青光眼药物。3只眼进行了滤过手术，2只眼去除了结膜下残留的类固醇注射。眼压在数月至一年内恢复正常。
