高度近视与原发性开角型青光眼的关系  

Relationship between high myopia and primary open angle glaucoma

作　　者：林乐莹 林佩洁 赖铭莹[2] Lin Leying;Lin Peijie;Lai Mingying(Jinan University,Guangzhou 510632,China;Shenzhen Eye Hospitai,Jinan University,Shenzhen 518000,China)

机构地区：[1]暨南大学,广州510632 [2]暨南大学附属深圳眼科医院,深圳518000

出　　处：《国际眼科纵览》2024年第3期172-176,共5页International Review of Ophthalmology

基　　金：深圳市科技计划项目(JCYJ20160428144848002);广东省高水平临床重点专科(深圳市配套建设经费)(SZGSP014)。

摘　　要：原发性开角型青光眼是一种慢性、进行性、伴有特征性视盘和视网膜神经纤维层形态改变且可导致不可逆盲的重要眼病。高度近视是原发性开角型青光眼的独立危险因素,同时伴有眼球形态和视盘结构的改变,给临床上原发性开角型青光眼的早期诊断和治疗带来困难。目前研究表明,高度近视患者患原发性开角型青光眼的风险高于非高度近视患者。本文从流行病学、眼压、眼轴长度、视野、视盘、视网膜神经纤维层等方面综述了高度近视与原发性开角型青光眼的关系。Primary open-angle glaucoma is a chronic and progressive optic neuropathy with characteristic morphological changes of optic disc and retinal nerve fiber layer,and without other eye diseases or congenital abnormalities,which will eventually lead to irreversible blindness.High myopia is an independent risk factor for primary open angle glaucoma,but it is accompanied by changes in eyeball morphology and optic disc structure,which brings difficulties to early clinical diagnosis and treatment.At present,a large number of studies show that the risk of primary open angle glaucoma in patients with high myopia is higher than that in patients with non-high myopia.This paper summarizes the relationship between high myopia and primary open angle glaucoma from the aspects of epidemiology,intraocular pressure,axial length,visual field,optic disc and retinal nerve fiber layer.

关 键 词：高度近视 原发性开角型青光眼 

分 类 号：R778.11[医药卫生—眼科] R775[医药卫生—临床医学]