103例糖皮质激素性青光眼的临床研究  

THE CLINICAL STUDY OF GLUCOCORTICOID GLAUCOMA

作　　者：王玲[1] 陈惠[1] 谢青[1] 张蔓萍[1] 

机构地区：[1]海南省中南大学湘雅医学院附属海口医院眼科,海口570208

出　　处：《现代预防医学》2011年第21期4562-4564,共3页Modern Preventive Medicine

摘　　要：[目的]研究糖皮质激素性青光眼(GIG)的病因、临床特点、治疗及预防。[方法]对103例(有197只眼患病)GIG患者的发病原因、患者特点及治疗转归等进行综合性、回顾性分析。[结果]103例中,男性55例,女性48例,年龄4～74岁,均因免疫性结膜炎或其他眼部炎症而局部应用糖皮质激素(GC)眼液,同时全身应用者25例,平均用药时间:成人(8±1.67)d,小于18岁的青少年(16±11.22)个月。所有患者均为开角型青光眼。经治疗,眼压均控制于正常。[结论]不规范使用GC是发生GIG的主要原因,早诊断早治疗是防控该病的有效手段。[Objective]To study the causes,clinical characteristics,treatment and prevention of glucocorticoid glaucoma.[Methods]The causes,characteristics,treatments and effects of 103 cases（197 diseased eyes）of glucocorticoid glaucoma were analyzed generally and retrospectively.[Results]In the studied 103 cases,male 55 cases,female 48 cases,4-74 years old.All cases used glucocorticoid eye drops locally because of immunologic conjunctivitis or other inflammations.25 cases used glucocorticoid both locally and systemically.The mean therapeutic time：adult 8±1.67days,children 16±11.22 months.All cases were with open angle glaucoma.Ocular pressures became normal after therapy.[Conclusion]Unprofessional use of glucocorticoid is the important cause of glucocorticoid glaucoma,early diagnosis and prompt treatment are the effective ways in controlling glucocorticoid glaucoma.

关 键 词：糖皮质激素 青光眼 免疫性结膜炎 

分 类 号：R775.3[医药卫生—眼科]