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本文对19例用糖皮质类固醇(激素)后眼压升高的患者进行了全面检查和追踪观察。综合分析患者用药前、后特别是停药后的眼压、房角、眼底、视野等资料后,分为以下4组:①3例药前各项检查正常,药后眼压升高,停药后观察2~4月,眼压尚需用降眼压药维持;但眼底、视野正常。②9例药前各项检查正常,药后眼压短期内升高,停药后各项检查正常。③5例药前或药后追查证实药前已有眼压、房角等异常;药后眼压显著升高,停药后不能恢复正常。④2例药前各项检查正常,药后眼压升高并已造成视盘、视野损害。根据以上结果,对糖皮质类固醇相关的高眼压症或青光眼之定义及分类提出了初步认识。
In this paper, 19 cases of patients with elevated intraocular pressure after glucocorticoid (hormone) were examined and followed up. A comprehensive analysis of patients before and after treatment, especially after stopping the intraocular pressure, angle, fundus, visual field and other information, divided into the following 4 groups: ① 3 cases before the examination of all normal, elevated intraocular pressure after drug withdrawal After 2 to 4 months observation, intraocular pressure still need to use intraocular pressure to maintain; but the fundus, visual field is normal. ② 9 cases before the normal test, intraocular pressure shortly after the drug increased, after stopping the various checks normal. ③ 5 cases of pre-drug or drug tracing confirmed pre-existing intraocular pressure, angle and other anomalies; IOP significantly increased after drug withdrawal can not be returned to normal. ④ 2 cases of various tests before normal, elevated intraocular pressure after medicine and has caused optic disc, visual field damage. Based on the above results, a preliminary understanding of the definition and classification of corticosteroid-related ocular hypertension or glaucoma is proposed.