摘要
目的 探讨影响原发性婴幼儿型青光眼患者术后视力的主要因素。方法 收集手术治疗成功的原发性婴幼儿型青光眼患者 2 3例 4 0眼 ,记录矫正视力 ,分析视力的影响因素。结果 (1)本组病例中视力≥ 0 .4者 14眼 ,占 35 % ,2 3眼为低视力眼 ,占 5 7.5 % ,盲眼有 3眼 ,盲目率 7.5 % ;(2 )经过多因素分析发现影响视力的主要因素是视神经损害、角膜损害 (Haab纹 )、屈光不正和屈光参差。结论 影响原发性婴幼儿型青光眼患者视力的主要因素除了视神经损害以外还有角膜损害 (Haab纹 )、屈光不正及屈光参差。改善视力预后的措施 :在早期诊断、早期手术治疗的基础上 ,术后密切随访 ,及时发现和矫正屈光不正 ,以及采取积极的弱视治疗尤其重要。
Objective To determine the major factors influencing the visual acuity of children with primary infantile glaucoma.Methods Forty eyes of 23 patients with successfully controlled primary infantile glaucoma were included. The age of diagnosis, times of surgery, cornea, optic nerve head, the objective refraction, and visual acuity were reviewed and examined.Results (1) The visual acuity of the glaucoma case group were 0.4~1.0 in 14 eyes(35%), 0.05~0.3 in 23 eyes(57.5%) and less than 0.05 in 3 eyes(7.5%); (2) The major factors influencing the visual acuity were the glaucoma optic nerve damage, corneal damage(haab striae), refraction error and anisometropia. Conclusions To improve the prognosis of visual acuity in primary infantile glaucoma, prompt optical correction of ametropia as well as effective therapy of potential amblyopia based on frequently follow-up are very important after the early diagnosis and surgical treatment .
出处
《眼科新进展》
CAS
2002年第2期115-117,共3页
Recent Advances in Ophthalmology
