糖皮质激素性青光眼临床分析  

Clinical analysis for 32 cases of glucocorticoid induced glaucoma

作　　者：杨洁 冯佩丽[2] 

机构地区：[1]上海市闵行区中心医院眼科,上海201100 [2]上海交通大学医学院瑞金医院眼科

出　　处：《中国实用眼科杂志》2007年第5期524-526,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨糖皮质激素性青光眼的病因、临床特点及预防治疗。方法对32例（57眼）糖皮质激素性青光眼患者资料进行分析。结果32例中,男性21例,女性11例。年龄11～58岁,平均29.3岁。局部应用糖皮质激素25例,（78.1%）,全身用药7例（21.9%）。17眼停用激素后眼压得到控制;28眼给予局部和全身使用抗青光眼药物治疗后,眼压得到控制;12眼眼压未得到控制,通过手术治疗。结论糖皮质激素性青光眼多发生于年轻男性,滥用糖皮质激素药物是发生糖皮质激素性青光眼的重要原因,强调要合理应用糖皮质激素,避免医源性青光眼的发生。Objective To investigate the etiology,clinical characteristics, prevention and treatment of glucocorticoid glaucoma （GIG）. Methods Analysis for 32 patients with glucocorticoid glaucoma. （57 eyes） were selected in the study. Results 32 cases （57 eyes ）. with glucocorticoid glaucoma, including 21 males, and 11 femals, in the age range 11-58 years, average 29.3years. 25 cases used glucocorticoid locally, （78.1%）, 7 cases used it systemically （21.9%）. The ocular tension of 17 eyes were controlled after stopping glucocorticoid administration; the ocular tension of 28 eyes were controlled by using antiglaucoma drug locally and systematically. The ocular tension of 12 eyes were not controlled satisfactorily and had been operated. Conclusion This kind of disease is popular in male youth. The important cause leading to GIG is the abuse of glucocorticoid. It is very important that appropriate prescription for reducing the iatrogenic ophthalmocace.

关 键 词：糖皮质激素 开角型 青光眼 

分 类 号：R775.9[医药卫生—眼科]