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HLA - B12和HLA - B7抗原在眼压升高患者中的预后价值。

The prognostic value of HLA-B12 and HLA-B7 antigens in patients with increased intraocular pressure.

作者信息

Shin D H, Becker B

出版信息

Am J Ophthalmol. 1976 Dec;82(6):871-4. doi: 10.1016/0002-9394(76)90063-5.

DOI:10.1016/0002-9394(76)90063-5
PMID:998703
Abstract

The presence of the histocompatibility antigens HLA-B12 or HLA-B7 in 76 patients with increased intraocular pressure and a GG response to topical corticosteroids (intraocular pressure over 31 mm Hg after six weeks of topical 0.1% dexamethasone eyedrops, four times daily) correlated with the development of glaucomatous visual field loss. In close agreement with prevalences in patients with primary open-angle glaucoma, 14 (88%) of the 16 patients with increased intraocular pressure and a GG response who developed glaucomatous visual field loss had either HLA-B12 or B7 antigens. Fourteen (41%) of 34 patients with increased intraocular pressure and a GG response who had B12 or B7 antigens developed glaucomatous visual field loss but only two (5%) of 42 similar patients without either antigen had visual field loss. Other factors such as the initial intraocular pressure, the horizontal cup/disk ratio, and family history of glaucoma proved less valuable as prognostic indicators in this series.

摘要

76例眼压升高且对局部皮质类固醇呈GG反应(每日4次局部使用0.1%地塞米松滴眼液6周后眼压超过31 mmHg)的患者中,组织相容性抗原HLA - B12或HLA - B7的存在与青光眼性视野缺损的发生相关。与原发性开角型青光眼患者的患病率密切一致,16例眼压升高且呈GG反应并发生青光眼性视野缺损的患者中,有14例(88%)具有HLA - B12或B7抗原。34例眼压升高且呈GG反应并具有B12或B7抗原的患者中,有14例(41%)发生了青光眼性视野缺损,但42例无任何一种抗原的类似患者中只有2例(5%)出现视野缺损。在本系列研究中,其他因素如初始眼压、水平杯盘比和青光眼家族史作为预后指标的价值较低。

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The prognostic value of HLA-B12 and HLA-B7 antigens in patients with increased intraocular pressure.HLA - B12和HLA - B7抗原在眼压升高患者中的预后价值。
Am J Ophthalmol. 1976 Dec;82(6):871-4. doi: 10.1016/0002-9394(76)90063-5.
2
The association of HLA-B7 and HLA-B12 antigens with cup/disk ratio, family history of glaucoma, and intraocular pressure.HLA - B7和HLA - B12抗原与杯盘比、青光眼家族史及眼压的关联
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引用本文的文献

1
Ocular complications of systemic steroid after renal transplantation and their association with HLA.肾移植后全身应用类固醇的眼部并发症及其与人类白细胞抗原的关联
Br J Ophthalmol. 1982 May;66(5):290-1. doi: 10.1136/bjo.66.5.290.
2
Ocular hypertension.高眼压症
Br Med J. 1978 May 13;1(6122):1230-1.
3
HLA antigens in glaucoma and ocular hypertension.青光眼和高眼压症中的人类白细胞抗原(HLA)抗原
Br J Ophthalmol. 1979 May;63(5):293-6. doi: 10.1136/bjo.63.5.293.
4
HLA antigens-risk factors for primary open-angle glaucoma?HLA抗原——原发性开角型青光眼的危险因素?
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1978 Sep 11;207(4):291-7. doi: 10.1007/BF00431167.