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1843名老年人体检中确诊为剥脱综合征(Exfoliationsyndrome,ES)57例和青光眼68例,后者患病率为3.7%,高于我国群体中青光眼的患病率(1%)。68例青光眼中有19例为ES合并青光眼(称囊性青光眼),占27.9%。57例ES中囊性青光眼的患病率为33.3%。19例中男15例(16眼),女4例(5眼)。年龄58-91岁。双眼2例,单眼17例。15例(16眼)为开角型;4例(5眼)为闭角型。4例(4眼)眼压正常;15例(17眼)眼压升高。2例(2眼)C值>0.13;17例(19眼)C值≤0.13。11例(12眼)患ES后6个月-6年合并青光眼;7例(8眼)患原发性青光眼后1-21年发生ES;1例(1眼)患新生血管性青光眼后4年双眼发生ES。
Among 1843 elderly people, 57 cases were diagnosed as exfoliation syndrome (ES) and 68 cases were glaucoma. The prevalence of the latter was 3.7%, which was higher than that of glaucoma in China (1%). In 68 cases of glaucoma, 19 cases were ES complicated with glaucoma (cystic glaucoma), accounting for 27.9%. The prevalence of cystic glaucoma in 57 ES was 33.3%. There were 15 males (16 eyes) and 4 females (5 eyes) in 19 cases. Age 58-91 years old. 2 eyes, 17 eyes monocular. 15 cases (16 eyes) were open angle type; 4 cases (5 eyes) were closed angle type. Four patients (4 eyes) had normal intraocular pressure and 15 patients (17 eyes) had elevated intraocular pressure. (2 eyes) C value> 0.13; 17 eyes (19 eyes) C value ≤0.13.11 eyes (12 eyes) with glaucoma 6 months to 6 years after ES; 7 eyes (8 eyes) ES occurs 1 to 21 years after suffering from primary glaucoma and 4 years after neovascular glaucoma occurs in 1 case (1 eye).