摘要
目的了解甲状腺相关眼病(thyroidassociatedophthalmopathy,TAO)患者眶压与眼压的关系。方法对96例TAOII型患者进行眼球突出度、眶压及眼压测量,将结果及其他相关因素进行分析。结果96例129眼中34眼眼压≥30mmHg(1kPa=7.5mmHg)。高眼压者均有眶压升高。TAO发病早期眶压及眼压升高的发生率较高。结论TAO早期眶压升高可引起眼压升高,并引起视功能损害,眶内静脉系统回流受阻是眼压升高的重要因素,TAO早期眶压升高合并眼压升高时应以药物治疗为主,眼压不能控制时再行眶减压及抗青光眼手术。
Objective To study the relation between intraorbital pressure and intraocular pressure （IOP） in patients with thyroid-associated ophthalmopathy （TAO）. Methods The ophthalmoptosis, intraorbital pressure and IOP were measured in 129 eyes of 96 patients with TAO-Ⅱ. The results and other related factores were analysed. Results IOP were ≥30 mmHg（l kPa= 7.5 mmHg） in 34 of 129 eyes. All eyes with elevated IOP were accompanied with increase of intraorbital pressure. The incidences of elevated IOP and intraorbital pressure were higher in earlier period of TAO. Conclusion The increase of intraorbital pressure may cause IOP elevation and optic nerve damage in earlier period of TAO. Obstructions of the intraorbital vein system is the important factores. Drug treatment is the main measure to treat the patients with elevated intraorbital pressure and IOP in earlier period. If it fails to control the IOP,the orbital decompression and the glaucomae surgery should be applied.
出处
《眼科新进展》
CAS
2006年第1期43-44,共2页
Recent Advances in Ophthalmology
关键词
甲状腺
眼病
眼压
眶压
thyroid gland
ophthalmopathy
intraocular pressure
intraorbital pressure
