原发性开角型青光眼治疗原则的探讨  

Study on therapeutic principle of primary open angle glaucoma

作　　者：张巍[1] 王维兴[1] 吴承斌[2] 

机构地区：[1]白求恩医科大学第二临床医学院眼科 [2]吉林省人民医院

出　　处：《眼外伤职业眼病杂志》1993年第2期90-92,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：本文对原发性开角型青光眼,手术治疗组32眼和药物治疗组14眼,经1～5年的追踪观察。结果发现,手术治疗组眼压均控制在正常范围内、视力不变和进步者占90.63%,C/D保持术前状态者占93.75%。视野面积无1例缩小。而药物治疗组眼压不能控制正常者占78.57%,视力减退和失明者占92.86%,C/D增大者占57.14%,视野面积缩小者占92.86%,从以上2组随访结果表明,原发性开角型青光眼手术治疗在控制眼压和防止视功能继续恶化方面,明显优于药物治疗。32 eyes of operative therapy and 14 eyes ofnon-operative therapy with primary open angleglaucoma (POAG),follow-up ranged 1-5 years werestudied. In operative group, IOP could be controlled innormal range, visual acuity was unchanged or im-proved=90.63%, visual field area was enlarged=58.3%. But in non-operative group,IOP could not becontrolled in normal range=78.57%, visual acuity wasdecreased or blind=96.86%, visual field area reducedmarkedly=92.86%, Results suggested that eye tensionand visual function changes should be observed closely inthe early stage of POAG. If medicine do not controlIOP or visual function has a worsend tendensy, wemust perform operative therapy, in the moderate oradvanced stage of POAG. the operative therapy isbetter than non-operative therapy.

关 键 词：青光眼 开角型 外科手术 药物疗法 

分 类 号：R779.605[医药卫生—眼科]