摘要
目的研究青光眼睫状体炎综合征的临床表现特点和鉴别诊断,为临床治疗提供准确诊断依据。方法回顾性分析48例青光眼睫状体炎综合征患者的临床资料,总结临床表现特点;患者均采用全身用药治疗和局部用药治疗相结合的方式,分析治疗效果。结果青光眼睫状体炎综合征临床表现在视力、眼压、瞳孔、前房、杯盘比、视野中特点明显。经过治疗, 48例患者的视力全部恢复正常,治疗有效率为100%。前房渗出物吸收效果明显,角膜透明,眼压下降。随访3～12个月, 2例患者在6个月内复发,占4.2%,再次治疗后, 12个月内未发生再次复发。4例患者无视乳头萎缩凹陷、永久性视功能损害,占8.3%;4例患者从单眼发病变为双眼发病,占8.3%,经过治疗随访12个月,未发生复发情况。结论结合临床表现特点,对青光眼睫状体炎综合征鉴别诊断能够明确为临床治疗提供依据。
Objective To study the clinical manifestation features and differential diagnosis of glaucomato-cyclitic crisis, and provide acute diagnostic basis for clinical treatment. Methods The clinical data of 48 cases of glaucomato-cyclitic crisis were retrospectively analyzed, and the clinical manifestations were summarized. The patients were treated by combination of systemic and local medication, and the treatment effect was analyzed. Results The clinical manifestations of glaucomato-cyclitic crisis are obvious in visual acuity, intraocular pressure, pupil, anterior chamber, cup-plate ratio and visual field. After treatment, the visual acuity of all 48 patients returned to normal, and the treatment effective rate was 100%. Absorption of anterior chamber exudate was obvious, cornea was transparent and intraocular pressure was decreased. After 3 ~ 12 months of follow-up, 2 patients relapsed within 6 months, accounting for 4.2%. After retreatment, no recurrence occurred within 12 months. 4 patients suffered from nipple atrophy, depression and permanent visual impairment, accounting for 8.3%. 4 patients changed from monocular to binocular, accounting for 8.3%. After 12 months of follow-up, no recurrence occurred. Conclusion Combined with the clinical manifestations, differential diagnosis of glaucomato-cyclitic crisis can clearly provide the basis for clinical treatment.
作者
陈健华
梁丹丹
黄锭
CHEN Jian-hua;LIANG Dan-dan;HUANG Ding(Department of Ophthalmology, Dongguan Qiaotou Hositital, Dongguan 523520, China)
出处
《中国现代药物应用》
2019年第6期19-21,共3页
Chinese Journal of Modern Drug Application
关键词
青光眼睫状体炎综合征
临床表现特点
鉴别诊断
Glaucomato-cyclitic crisis
Clinical manifestation features
Differential diagnosis
