2014-2019年北京同仁医院儿童青光眼住院患者的疾病构成特点

Analysis of disease constitution of pediatric glaucoma inpatients in Beijing Tongren Hospital from 2014 to 2019

目的:了解儿童罹患青光眼的疾病类型、特点,更好地做到早期发现早期治疗。方法:收集北京同仁医院2014—2019年度834例0~18周岁住院接受抗青光眼手术的患者,回顾性分析患者的人群特点与疾病构成特点。结果:834例患者中,原发青光眼397例(47.6%),继发青光眼429例(51.4%)。另有8例无法明确诊断青光眼类型。原发青光眼中以原发先天性青光眼最常见,继发青光眼中以白内障术后继发青光眼为主,两种类型的青光眼占总患者数的50%。结论:儿童罹患青光眼的疾病种类繁多,其中原发先天青光眼与白内障术后继发青光眼最常见,重视婴幼儿先天青光眼的筛查,监测儿童白内障术后眼压有助于早期发现青光眼,并给予治疗,延缓儿童青光眼患者视功能的损害。

Objective:To understand the types and characteristics of glaucoma in pediatric inpatients to achieve early detection and treatment.Methods:A total of 834 patients aged 0–18 years who underwent anti-glaucoma surgery in Beijing Tongren Hospital from 2014 to 2019 were collected and their population characteristics and disease composition characteristics were retrospectively analyzed.Results:In all of the 834 cases,there were 397 patients(47.6%)with primary glaucoma and 429(51.4%)with secondary glaucoma.The type of glaucoma could not be definitively diagnosed in 8 cases.Primary infant glaucoma and secondary glaucoma following cataract surgery accounted for above 50%.Conclusion:The causes of pediatric inpatients with glaucoma are various.Screening of primary infant glaucoma should be taken seriously and monitoring intraocular pressure after cataract surgery is also important.Early detection and treatment can prevent further visual loss of pediatric patients with glaucoma.