重视高度近视合并闭角型青光眼

High myopia combined with angle closure glaucoma should be paid attention to

目前,国内外不同人种、不同地区的流行病学调查和临床研究均显示近视(尤其是高度近视)是青光眼独立于眼压之外的危险因素。虽然开角型青光眼是高度近视合并青光眼的主要类型,但是近些年却不断有高度近视合并闭角型青光眼的报道。本文对高度近视合并青光眼的类型以及高度近视合并闭角型青光眼的发病机制进行讨论分析,目的是提醒眼科医师在临床工作中重视高度近视合并闭角型青光眼,以免误诊漏诊。

At present, both the epidemiologlcal investigations and clinical studies reveal that myopia, especially high myopia, is an isolated risk factor of glaucoma. Al- though open angle glaucoma is the major type of glaucoma in myopic patients, there are more and more reports of angle closure glaucoma in high myopia. In this paper, the types of glaucoma and mechanism of angle closure glaucoma in high myopia are dis- cussed to emphasize the existence of angle closure glaucoma in high myopia.