慢性青光眼患者不同程度视野缺损情况分析  

The Analysis of Various Extent Visual Field Defect in Chronic Glaucoma Patients

作　　者：钟一声[1] 叶纹[1] 骆训达[1] 

机构地区：[1]上海第二医科大学附属瑞金医院眼科,200025

出　　处：《眼科学报》2004年第4期213-218,共6页Eye Science

摘　　要：目的:研究单眼视野已严重缺损的慢性青光眼患者对侧眼视野缺损情况,并分析其视野缺损的相关危险因素.方法:对47例单眼视野已严重缺损(视野缺损计分≥12分)的慢性青光眼患者[原发性慢性闭角型青光眼(primary chronic angle-closed glaucoma,PACG)23例和原发性开角型青光眼(primary open angle glaucoma,POAG)24例]的对侧眼视野进行视野缺损计分,分析对侧眼视力、最高眼压和平均眼压、年龄、屈光度、诊断、病程、性别及抗青光眼手术与否与对侧眼视野缺损计分的关系.应用Spearman相关分析分析上述因素与对侧眼视野缺损计分的相关性.结果:23例PACG患者中,对侧眼视野缺损情况为:无视野缺损者(计分为0分)4例,轻度视野缺损者(计分为1～5分)5例,中度视野缺损者(计分为6～11分)7例,严重视野缺损或终末期视野缺损者(计分为12～20分)7例.24例POAG患者中,对侧眼视野缺损情况为:轻度视野缺损者(计分为1～5分)4例,中度视野缺损者(计分为6～11分)9例,严重视野缺损或终末期视野缺损者(计分为12～20分)11例.PACG患者病程大于或等于10年组的视野缺损计分明显大于病程小于1O年组,且两组间差异有显著性(Z=2.8380,P=0.0224);PACG患者平均眼压大于18mmHg(1 mmHg=0.133 kPa)组的视野缺损计分明显大于平均眼压小于或等于18 mmHg组,且两组间差异有显著性(Z=1.9174,P=0.0276).POAG患者抗青光眼手术史组对侧眼视野缺损计分明显大于无抗青光眼手术史组,且两组间差异有显著性(Z=2.2377,P=0.0252).PACG患者对侧眼视野缺损计分与对侧眼的平均眼压呈明显的正相关(r=0.4763,P=0.0216),与对侧眼本身的视力呈明显的负相关(r=-0.4416,P=0.0349).结论:单眼视野已严重缺损的PACG患者,其对侧眼视野缺损程度与对侧眼平均眼压、病程及视力有关;对侧眼视野缺损计分与平均眼压呈正相关,与对侧眼视力呈负相关.Purpose: To study the situation for the follow eye visual field defect of patients with severe visual field loss in 1 eye from chronic glaucoma, and to analyze the relative risk factors for visual field defect in such eyes.Methods: The visual field defect scores of fellow eyes were calculated in 47 cases [primary chronic angle-closed glaucoma (PACG) 23 cases and primary open angle glaucoma (POAG) 24 cases] with severe visual field loss in 1 eye (visual field defect score≥12) .The relations were analyzed bet...

关 键 词：慢性青光眼 视野缺损: 视野计分 

分 类 号：R775[医药卫生—眼科]