谨慎诊治少年儿童高眼压症

Management of juvenile ocular hypertension

少年儿童高眼压症多发生在10岁左右的患儿，眼压常呈波动性，眼压值多数超过30mmHg（1mmHg=0．133kPa）。患儿一般无自觉不适症状，也无影响视力等主诉。长期随访发现多数患儿于青春期后眼压趋于正常，因而亦称之为“青春期的眼压波动或高眼压症”。由于临床上常见有些少年儿童的高眼压症是眼压测量误差或角膜偏厚造成的假象，因此有必要就真正的少年儿童高眼压症及其处理方法进行述评，以期引起临床眼科医师的高度重视。

Ocular hypertensions （OHTs） in juvenile are characterized by occurrence in teenage with intraocular pressure （lOP） frequently fluctuated and increased over 30 mm Hg（ 1 mm Hg = 0. 133 kPa） without any ocular symptoms and disturbance of visual acuity. IOPs are normalized in the majorities of juvenile over adolescence stage with long-term follow up. The medical terminology of ＇ adolescence IOP fluctuation＇ or ＇adolescence ocular hypertension＇ is therefore used. The diagnosis and management of juvenile OHT remain difficult clinical challenges. OHTs in juvenile sometimes are incorrectly diagnosed due to inappropriate IOP measurement and thicker central cornea as younger children are non-compliant and resisting the examination. In this paper, we reviewed OHT in juvenile in the light of significant studies in the past and based on our experience of clinical practice in order to provide a better understanding and management of OHTs in juvenile.