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目的 分析青少年型青光眼的临床特点。方法 对 3 4例青少年型青光眼的临床资料进行回顾性研究 ,分析其一般情况、眼压特点、视网膜神经纤维层缺损、视野与C/D值和眼压的关系。结果 青少年型青光眼的男女比例为 2 8:1 ,就诊时平均年龄 2 0 2 1± 6 2 8岁 ,41 1 8%患者有自觉症状。眼压不高于 3 0mmHg者占 67 65 % ,而仅有 7 3 5 %眼压高于 40mmHg ,个体眼压的差异较大。C/D值大于 0 6者占 82 % ,大于 0 8者占 3 5 %。已有视野损害者占 65 0 8% ,早、中、晚三期视野损害分别为 3 3 3 3 %、 2 2 2 2 %、 9 5 %。结论 青少年型青光眼症状轻微 ,眼压轻中度升高且个体间差异大 ,发现时常为中晚期。临床工作中对可疑青少年型青光眼患者应详细检查 ,密切随访。
Objective To analyze the clinical features of adolescent glaucoma. Methods The clinical data of 34 adolescent glaucoma were retrospectively analyzed. The general situation, intraocular pressure characteristics, retinal nerve fiber layer defect, visual field and C / D value and intraocular pressure were analyzed. Results The ratio of male to female in adolescent glaucoma was 28: 1, and the average age at treatment was 2021 ± 628 years old. 41.1% of the patients had symptoms. Intraocular pressure is not higher than 30mmHg 6765%, while only 73.5% intraocular pressure higher than 40mmHg, individual differences in intraocular pressure larger. C / D value is greater than 0 6 accounted for 82%, greater than 0 8 accounted for 35%. There were 65 0 8% of the patients who had visual field damage, and 3 3 3 3%, 22 22% and 95% of the visual field loss in the early, middle and late stages respectively. Conclusions The symptoms of juvenile glaucoma are mild, the intraocular pressure is moderately elevated, and the differences among individuals are large. It is often found in the advanced stage. Clinical work on suspected juvenile glaucoma patients should be carefully examined, followed up closely.