[摘要] 目的 探討原發(fā)性閉角型青光眼患者術(shù)后發(fā)生惡性青光眼的危險(xiǎn)因素。方法 方便選取該院2012年6月—2015年12月收治的530例(664眼)原發(fā)性閉角型青光眼患者作為研究對(duì)象,根據(jù)術(shù)后是否發(fā)生惡性青光眼分為觀察組13例(19眼)和對(duì)照組517例(645眼),通過A/B超和UBM對(duì)患者前房深度、LOWE系數(shù)、眼軸長(zhǎng)度、晶狀體厚度及術(shù)前眼壓等指標(biāo)進(jìn)行檢測(cè),分析觀察指標(biāo)與惡性青光眼發(fā)生的關(guān)聯(lián)性。結(jié)果 與對(duì)照組相比,觀察組患者眼軸(20.97±0.75)mm較短、晶狀體 (4.27±0.38)mm較薄、術(shù)前眼壓 (35.15±5.31)mmHg較高,差異有統(tǒng)計(jì)學(xué)意義(P<0.05);兩組前房深度和LOWE系數(shù)以及性別和手術(shù)方式上差異無統(tǒng)計(jì)學(xué)意義(P>0.05);在年齡、術(shù)前眼壓、眼軸長(zhǎng)度(χ2=6.32)、前房深度及晶狀體厚度上差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論 年齡較小、術(shù)前眼壓高、眼軸較短、前房厚度較淺及晶狀體較薄的原發(fā)性閉角型青光眼術(shù)后易發(fā)生惡性青光眼。
[關(guān)鍵詞] 原發(fā)性閉角型青光眼;危險(xiǎn)因素;惡性青光眼
[中圖分類號(hào)] R776.1 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742(2016)11(c)-0099-03
[Abstract] Objective To explore the risk factors of malignant glaucoma occurrence after filtration surgery for primary glaucoma. Methods Convenient selection our hospital were treated 530 cases (664 eyes) of primary angle-closure glaucoma patients as research subjects in June 2012 - December 2015, according to the occurrence of malignant glaucoma after surgery is divided into observation group of 13 cases (19 eyes) and control group of 517 cases (645 eyes), A/B ultrasound and UBM were used to detect anterior chamber thickness、LOWE coefficient、axis length、lens thickness and preoperative IOP, correlation analysis observed indicators of malignant glaucoma. Results Compared with the control group, the observation group of patients with ocular axis (20.97 ± 0.75)mm, short lens (4.27 ± 0.38)mm thinner, preoperative intraocular pressure (35.15 ± 5.31)mmHg is higher, the difference was statistically significant (P < 0.05); two groups of anterior chamber depth and LOWE coefficient as well as the sex and type of surgery without statistical difference significance (P > 0.05); in the age, preoperative intraocular pressure and ocular axial length (χ2=6.32), there was statistical significance between anterior chamber depth and lens thickness (P < 0.05). Conclusion The patients with primary angle closure glaucoma were prone to malignant glaucoma after the operation of the primary angle closure glaucoma with small age, high intraocular pressure, short axial length, anterior thickness and thin lens.
[Key words] Primary angle-closure glaucoma; Risk factors; Malignant glaucoma
惡性青光眼(Malignant Glaucoma)又名睫狀環(huán)阻滯性閉角型青光眼,目前尚未明確該病發(fā)病機(jī)制[1-2]。原發(fā)性閉角型青光眼(PACG)是眼科常見的青光眼類型,其術(shù)后可發(fā)生惡性青光眼,對(duì)患者造成嚴(yán)重?fù)p害,預(yù)防惡性青光眼出現(xiàn)具有重要臨床意義。該文將該院2012年6月—2015年12月收治的530例(664眼)原發(fā)性閉角型青光眼患者作為研究對(duì)象,觀察患者術(shù)后是否出現(xiàn)惡性青光眼,分析研究發(fā)生惡性青光眼的危險(xiǎn)因素,現(xiàn)報(bào)道如下。
1 資料與方法
1.1 一般資料
該文方便選取該院收治的530例(664眼)原發(fā)性閉角型青光眼患者作為研究對(duì)象,根據(jù)患者發(fā)病情況分為急性閉角型青光眼和慢性閉角型青光眼,其中男性220例,女性310例,年齡30~76歲,平均年齡(58.27±4.81)歲。……