先天性青光眼俗称水眼,是一种严重危害视功能的眼病。大多数病例在1岁之内出现症状,以双眼居多。本病的临床特点为眼压增高,角膜水肿和混浊,继而角膜和眼球扩大,晚期出现青光眼性视乳头凹陷,最终完全丧失视力。本文就其发病机理、临床表现、诊断检查、鉴别诊断及治疗等诸方面,结合本人的临床体会,叙述如下。一、发病机理本病大多数病例表现为散发性。但也有少量患者具有阳性家族病史,对其遗传规律,一般认为符合常染色体隐性遗传。引起该病的主要原因是由于胎儿时期前房角组织发育异常,导致房水排出障碍所致。然而,关于房水排出障碍的确切部位以及房角异常是怎么产生的,现 Congenital glaucoma, commonly known as water eye, is a serious eye damage to visual function. Most cases have symptoms within 1 year of age, mostly with both eyes. The clinical features of this disease are increased intraocular pressure, corneal edema and opacity, followed by expansion of the cornea and eyeballs, late glaucoma optic disc depression, the final complete loss of vision. This article on its pathogenesis, clinical manifestations, diagnostic tests, differential diagnosis and treatment, and other aspects, combined with my clinical experience, described below. First, the pathogenesis Most cases of this disease showed sporadic. But there are also a small number of patients with a positive family history of the genetic law is generally considered in line with autosomal recessive inheritance. The main cause of the disease is due to fetal anterior chamber angle dysplasia, resulting in aqueous humor discharge disorder caused. However, the exact location of aqueous humor discharge and how the anomalies of the anterior chamber are produced are