摘要
目的探讨恶性青光眼的发病机制,并以此为根据研究其临床分型.方法：选取恶性青光眼病患17 例,采用眼科超声生物显微镜以及眼科临床检查, 研究其发病机制,并与对侧眼进行比较, 根据观察结果对恶性青光眼进行临床分型.结果：17 例病患中有睫状体阻滞者6 例,其对侧眼与患侧眼具有同样的超声生物显微镜图象特点.其余11 例未发现有睫状体阻滞的现象,其对侧眼虹膜平坦者较多见,睫状体无前移现象,和正常人相同.睫状体阻滞患者的眼轴显著低于晶体-虹膜阻滞病患;晶体厚度显著比晶体-虹膜阻滞病患要高.差异均具有统计学意义（均P〈0.05）.结论：经研究将恶性青光眼分为两类,分别为睫状体阻滞型,晶体-虹膜阻滞型,前者是由于睫状环阻滞引发的,后者是由于晶体-虹膜前移严重引发的.这两类恶性青光眼都具有睫状体前移,后房消失的病理生理特征,但其发病机制并不完全相同,该结论在临床上有一点的指导意义,值得临床推荐.
Objective: To investigate the pathogenesis of malignant glaucoma, and on this basis to study the clinical classification. Methods: From May 2013 to April 2015, malignant glaucoma patients in our hospital diagnosed 17 cases, the study, the use of ophthalmology and ophthalmology ultrasound bio-microscope examination method in 17 cases of malignant glaucoma patients to be checked and observe, study its pathogenesis, and compares with the contralateral eye, according to the observations of the clinical classification of malignant glaucoma. Results: After ultrasound bio-microscope ciliary block were found six cases in 17 cases of patients, accounting for 35.3% of the affected eye contralateral eye has the same characteristics of ultrasound bio-microscope image. The remaining 11 cases found no ciliary block phenomenon, accounting for 64.7%, flat contralateral eye iris were more common, ciliary body no forward phenomenon, and normal same. Ciliary block in patients with axial length was significantly lower than the crystal- Iris arrest patients; significant than the crystalline lens thickness- Iris arrest patients is higher. The differences were statistically significant(P <0.05). Conclusion: The study will be divided into two types of malignant glaucoma, ciliary body are block type, crystal- iris block type, the former is caused due to the ciliary block, which is due to the crystal- iris forward caused serious a. These two types of malignant glaucoma have ciliary body forward and pathophysiological characteristics of the room after the disappearance, but its pathogenesis is not exactly the same thing for the conclusion of the clinical significance and is worthy of recommendation.
出处
《世界中医药》
CAS
2015年第A01期198-199,共2页
World Chinese Medicine
