糖皮质激素性青光眼35例临床分析  

Clinical analysis of 35 cases glucocorti-coid glaucoma

作　　者：史慧敏[1] 

机构地区：[1]华中科技大学同济医学院附属襄樊医院眼科,中国湖北省襄樊市441021

出　　处：《国际眼科杂志》2009年第3期573-574,共2页International Eye Science

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35例(64眼)糖皮质激素性青光眼患者资料进行分析。结果:35例中,男24例,女11例,年龄9～59(平均28.8)岁。局部应用糖皮质激素27例(77%),全身用药8例(23%)。19眼停用糖皮质激素后眼压得到控制;22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;13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青年男性,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。AIM- To investigate the etiology, clinical characterisitics, prevention and treatment of glucocorti-coid glaucoma （GIG）. METHODS： Analyze 35 cases （64 eyes） with glucocorticoid glaucoma patients. RESULTS： Thirty-five cases with glucocorticoid glaucoma, including 24 males and 11 females, in the age range 9-59 years, average 28.8 years. 27 cases were given glucocorticoid locally （77%）, 8 cases were given it systemically （23%）. The ocular tensions of 19 eyes were controlled after stopping glucocorticoid administration; the ocular tentions of 22 eyes were controlled by using antiglaucoma drug locally and systematically. The ocular tensions of 13 eyes were not controlled satisfactorily and had been operated. CONCLUSION： This kind of disease is popular in male youth. Abusing of glucocorticoid drugs is an important reasons for glucocorticoid glaucoma. It is very important that appropriate prescription for reducing the iatrogenic glaucoma.

关 键 词：糖皮质激素 开角型 青光眼 

分 类 号：R775[医药卫生—眼科]