合并视网膜色素变性的青光眼临床特征

眼科 ›› 2013, Vol. 22 ›› Issue (1): 42-44.

合并视网膜色素变性的青光眼临床特征

游玉霞李建军徐亮马科

100005首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所

收稿日期:2012-11-12 出版日期:2013-01-25 发布日期:2013-01-30
通讯作者: 马科，Email：cdmake@sohu.com

Clinical characteristics of glaucoma associated with retinitis pigmentosa

YOU Yu-xia, LI Jian-jun, XU Liang, MA Ke.

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

Received:2012-11-12 Online:2013-01-25 Published:2013-01-30
Contact: MA Ke, Email: cdmake@sohu.com

摘要/Abstract

摘要： 目的分析合并视网膜色素变性（RP）的青光眼患者的临床特征。设计回顾性病例系列。研究对象 2008年8月至2012年9月北京同仁眼科中心RP合并青光眼患者37例（62眼）及未合并青光眼的RP患者109例（215眼）。方法对上述患者的门诊电子病历结合门诊病案资料进行回顾分析。主要指标青光眼类型，矫正视力及眼压。结果 37例（62眼）RP合并青光眼者中急性闭角型青光眼9例（18眼，29.0%），慢性闭角型青光眼21例（34眼，54.8%），原发性开角型青光眼7例（10眼，16.1%）。RP合并青光眼及未合并青光眼者盲眼（视力<0.05）比例分别为58.9%和33.6%（P=0.000）。RP合并青光眼者的平均眼压（23.1±14.0）mm Hg。结论此回顾性研究中RP合并的青光眼多为原发性闭角型，且视力损害加重。（眼科，2013, 22：42-44）

关键词: , 视网膜色素变性；青光眼　

Abstract: Objective To study the clinical characteristics of glaucoma associated with retinitis pigmentosa (RP). Design Retrospective case series. Participants 37 patients (62 eyes) of RP associated with glaucoma and 109 patients (215 eyes) of RP without glaucoma were evaluated in Beijing Tongren Hospital from Aug. 2008 to Sep. 2012. Methods The clinical electronic records and medical records of the participants were reviewed. Main Outcome Measures The classification of glaucoma, corrected visual acuity and intraocular pressure(IOP). Results In 37 patients（62 eyes）of glaucoma associated with RP, there were 9 cases (18 eyes, 29.0%) with acute angle closure glaucoma, 21 cases (34 eyes, 54.8%) with chronic angle closure glaucoma and 7 cases (10 eyes, 16.1%) with primary open angle glaucoma. The percentage of visual acuity below 0.05 of RP with glaucoma and without glaucoma was 58.9% and 33.6%, respectively (P=0.000). The mean IOP of glaucoma with RP was 23.1±14.0 mm Hg. Conclusion In this retrospective case series, RP was associated with primary angle closure glaucoma much frenquently than with primary open angle glaucoma, and their visual impairment was more serious. (Ophthalmol CHN, 2013, 22: 42-44)

Key words: retinits pigmentosa, glaucoma　　

游玉霞李建军徐亮马科. 合并视网膜色素变性的青光眼临床特征[J]. 眼科, 2013, 22(1): 42-44.

YOU Yu-xia, LI Jian-jun, XU Liang, MA Ke. . Clinical characteristics of glaucoma associated with retinitis pigmentosa[J]. Ophthalmology in China, 2013, 22(1): 42-44.

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