摘要
目的 :分析近视眼合并青光眼的临床特点。方法 :分析观察近视合并青光眼 43例、86眼。结果 :( 1 ) 43例患者不同的屈光度发病率不同 ;( 2 )高度近视青光眼发病率高于低度者 ,本组病例 >- 6D 34例 ,占79.0 7% ;<- 5.75D 9例 ,占 2 0 .93% ;( 3)眼压升高是近视合并青光眼的主要特征 ;( 4 )视盘形态不规则较显著 ;( 5)视网膜神经纤维层检查发现早期青光眼结构改变的敏感性很高。结论 :近视、青光眼两病并存致病程缓慢而隐蔽 ,症状不典型 ,体征较特殊 ,易漏诊、误诊 ;通过系统检查 ,是可以发现和确诊的。
Objective:To analyze the clinical characteristics of myopia combined with glaucoma.Methods:Forty three cases of eighty six eyes were observed.Results:(1)Different dioptre caused different pathogenic rate;(2)The pathogenic rate of high glaucoma and myopia is higher than that of low myopia.Among them,34 cases were>-6D(79.07%),9 cases were <-5.75D(20.93%).(3)Increased tension of eyeball was the main character;(4)The optic disc was not regular;(5)Early glaucomatous structural change had high sensitivity.Conclusions:Myopia combined with glaucoma,which is slow and hidden in course,not typical in syndrome,and complex in signs,can be diagnosed by systematic examination.
