青少年糖皮质激素性青光眼10例临床分析  

Analysis of 10 cases of adolescent glucocorticoid-induced glaucoma

作　　者：赵薇[1,2] 李才锐[1,2] 洪卫[1,2] 

机构地区：[1]大理学院附属医院眼科 [2]大理学院临床医学研究中心,中国云南省大理市671000

出　　处：《国际眼科杂志》2010年第12期2389-2390,共2页International Eye Science

摘　　要：目的:回顾性分析近2a内10例20眼激素性青光眼的发病原因和相关治疗情况,对激素性青光眼做到早期发现,及时治疗。方法:对我院2008-01/2010-07诊断的10例20眼激素性青光眼进行分析。结果:青少年激素性青光眼的病因分为过敏性结膜炎5例10眼(50%),春季卡他性结膜炎2例4眼(20%),LASIK术后3例6眼(30%),使用激素点眼的原因已过敏性结膜炎最多。使用时间为3wk～18mo,有开角型青光眼的临床表现。结论:引起激素性青光眼的发病机制较为复杂,青少年对眼压的耐受性高,贻误诊断则视功能损伤严重,预防和早期诊断该病是挽救患者视力的重要途径。AIM：To analyze the etiopathogenisis and therapeutic conditions of glucocorticoid-induced glaucoma, and discover it earlier and treat it in time. METHODS：Retrospectively, 10 cases 20 eyes with glucocorticoid-induced glaucoma from January 2008 to July 2010 in our hospital were analyzed. RESULTS：According its etiopathogenisis, it concluded 5 cases 10 eyes（50%） of allergic conjunctivitis, 2 cases 4 eyes （20%）of vernal conjunctivitis, 3 cases 6 eyes（30%） of LASIK surgery. The majority of glucocorticoid-induced glaucoma was caused by allergic conjunctivitis. Follow-up time was from 3 weeks to 18 months. All patients had clinical manifestations of open angle glaucoma. CONCLUSION：The pathogenesis of glucocorticoid-induced glaucoma is complex, while adolescent can endure high intraocular pressure; misdiagnosis can induce serious visual function damage,prevention and early diagnosis is very important for retrieving vision.

关 键 词：糖皮质激素 眼压 近视 

分 类 号：R775[医药卫生—眼科]