青光眼睫状体炎综合征32例临床分析

目的:分析青光眼睫状体炎综合征临床表现,发病原因及诊断治疗方法。方法:对我院2001-01/2008-10临床诊断为青光眼睫状体炎综合征患者32例进行追踪和回顾性分析。结果:32例病例中首诊误诊的有5例。随访时间4～8(平均6)a,长期观察表明:该综合征每年发作次数不等,差别较大,因人而异,每次发作无明确诱因,多次反复发作,大多数视功能不受影响,本组病例中仅4例患者经反复发作后药物控制不佳,出现了视野及视盘改变,进行了外滤过手术治疗,效果较好。结论:青光眼睫状体炎综合征临床表现为单眼复发性睫状体炎伴眼压升高,大多反复发作,但多数不出现视野及视盘改变。在临床上该病易被误诊,必须掌握其诊断与鉴别诊断的要点。应长期观察视野及视盘变化情况,避免造成视功能持续损害。

Clinical analysis of Posner-Schlossman's syndrome on 32 cases

AIM:To analyze the clinic manifestation,pathologenic reason,and the diagnosis and treatment methods of Posner-Schlossman’s syndrome(PSS). ·METHODS:We respectively analyzed for 32 patients of PSS from January 2001 to October 2008. ·RESULTS:There are five patients for misdiagnosis ,the following time is 4-8 years,the average time is 6 years,the observing indicate that the times of outbreak of this syndrome varied every year,having obvious difference,according to different person,having not obvious inducement,repeat outbreak,not influencing to the visual function mostly,4 patients can not be controlled by medicine after repeat outbreak ,having changes of visual field and optic disc,after trabeculectomy operation,having good effect. ·CONCLUSION:PSS manifest with high IOP,cyclitis,repeat outbreak,having not changes of visual field and optic disc. It is easy to misdiagnose in clinic,so must master the points of diagnosis and differentiation. So we should observe the changes of visual field and optic disc,preventing damage the visual function continuously.