青光眼睫状体炎综合征的临床分析

目的:探讨青光眼睫状体炎综合征患者的临床特点,治疗效果和视力预后。方法:回顾性分析2008年12月~2012年12月来在两院区(临桂、乐群)眼科就诊的青光眼睫状体炎综合征患者68例(70只眼)其性别、首次发病年龄、既往史、临床体征(矫正远视力、裂隙灯显微镜、眼底镜、房角镜和眼压检查,部分患者行视野检查)、首次诊断、治疗方案、临床特点、治疗效果和视力预后。结果:68例(70只眼)患者中,男性40例(42只眼),女性28例(28只眼);发病时年龄17~63岁,平均(37.51±13.27)岁。其中单眼发病60例,双眼交替发病8例。初次发病者49例,反复发作者19例,发作次数为2~10次。发病时平均眼压(34.21±12.52)mm Hg;平均KP数为(4.97±4.23)个;虹膜异色者8例,占11.8%;5例发病眼与对侧眼C/D差≥0.2,占7.35%;首诊误诊3例,误诊率为4.41%;具有内分泌或免疫性疾病史病例共18例,占26.5%。经系统抗炎和降眼压治疗后所有患者眼压均得以控制,57例患者(59只眼)视功能恢复;有9例患者(10只眼)因反复发作出现杯盘比扩大和视野损害。结论:青光眼睫状体炎综合征表现为单眼复发性虹膜睫状体炎并伴有眼压升高,多数患者经治疗后视力预后较佳,少数患者反复发作后可出现青光眼性视野损害。该病并非全部为良性经过,有待进一步分型;在临床上易被误诊或漏诊,临床医生应掌握其诊治要点,并对反复发作的患者定期观察视野及视盘变化,以免造成永久性视功能损害。具有内分泌或免疫性疾病史者可能为易感人群;该病的发生与机体状态的关系有待明确,其发生机制有待研究。

Clinical analysis of glaucoma cyclitis syndrome

Objective To explore the clinical characteristics,treatment effect and prognosis of vision of patients with glaucoma cyclitis syndrome.Method 68 cases（ 70 eyes） glaucoma of cyclitis syndrome from December 2008 to December 2012 were retrospectively analyzed in both area（ Lingui,Lequn） and were retrospectively analyzed with their gender,age of onset,previous history,clinical signs（ correcting distant vision,slit lamp microscope and ophthalmoscope,corner and intraocular pressure check,some patients had visual field inspection）,first diagnosis and therapeutic schedule,clinical features,treatment effect and prognosis of vision.Results Among the 68 cases（ 70 eyes）,40（ 42 eyes） were male patients,28（ 28 eyes） were female patients; age of onset was 17 - 63 years,mean age was（ 37.51 ＋ 13.27）.60 cases were monocular one,and 8 cases were binocular one.49 cases were first onset,19 cases were recurrent one,the frequency was 2 to 10 times.Average intraocular pressure was（ 34.21 ± 12.52） mm Hg; Average number of KP was（ 4.97 ＋ 4.23）; Iris non-blue was in 8 cases,accounting for 11.8%; 5 cases had differences between the had eye and the contralateral one,and C / D≥0.2,accounting for 7.35%; Misdiagnosed was in 3 cases,the misdiagnosis rate was 4.41%; a total of 18 cases were with endocrine or autoimmune disease history,accounting for 26.5%; After treatment with anti-inflammatory and effects in all patients with intraocular pressure under control,57 cases（ 59 eyes） had visual function recovery; Nine patients（ 10 eyes） had recurrence,and cup plates ratio were expanded and vision were damaged.Conclusion Glaucoma cyclitis syndrome characterized by monocular recurrent iridocyclitis and associated with elevated intraocular pressure,most patients＇ prognosis after treatment is better,a few patients can appear sex glaucoma after repeated attacks vision damage.Not all benign,the disease needs further classification; In clinic it is easy to be misdiagnosed or missed,clinical doctors should master the main points of diagnosis and treatment,and regularly observed in patients with recurrent horizons and DVD changes,so as not to cause permanent visual function damage.With endocrine or autoimmune disease history may be the vulnerable groups; the relationship of happening of the disease and the body of the state needs to be clear,the mechanism remains to be studied.