青少年糖皮质激素性青光眼10例临床分析

目的:回顾性分析近2a内10例20眼激素性青光眼的发病原因和相关治疗情况,对激素性青光眼做到早期发现,及时治疗。方法:对我院2008-01/2010-07诊断的10例20眼激素性青光眼进行分析。结果:青少年激素性青光眼的病因分为过敏性结膜炎5例10眼(50%),春季卡他性结膜炎2例4眼(20%),LASIK术后3例6眼(30%),使用激素点眼的原因已过敏性结膜炎最多。使用时间为3wk～18mo,有开角型青光眼的临床表现。结论:引起激素性青光眼的发病机制较为复杂,青少年对眼压的耐受性高,贻误诊断则视功能损伤严重,预防和早期诊断该病是挽救患者视力的重要途径。

Analysis of 10 cases of adolescent glucocorticoid-induced glaucoma

AIM:To analyze the etiopathogenisis and therapeutic conditions of glucocorticoid-induced glaucoma,and discover it earlier and treat it in time. ·METHODS:Retrospectively,10 cases 20 eyes with glucocorticoid-induced glaucoma from January 2008 to July 2010 in our hospital were analyzed.·RESULTS:According its etiopathogenisis,it concluded 5 cases 10 eyes(50%) of allergic conjunctivitis,2 cases 4 eyes (20%)of vernal conjunctivitis,3 cases 6 eyes(30%) of LASIK surgery. The majority of glucocorticoid-induced glaucoma was caused by allergic conjunctivitis. Follow-up time was from 3 weeks to 18 months. All patients had clinical manifestations of open angle glaucoma.·CONCLUSION:The pathogenesis of glucocorticoid-induced glaucoma is complex,while adolescent can endure high intraocular pressure; misdiagnosis can induce serious visual function damage,prevention and early diagnosis is very important for retrieving vision.