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題名 | 原發性隅角閉鎖型青光眼的臨床表徵=Clinical Features of Primary Angle Closure Glaucoma |
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作者 | 柯美蘭; 洪伯廷; 吳國治; 王鈞苹; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 35:1 1996.03[民85.03] |
頁次 | 頁15-20 |
分類號 | 416.748 |
關鍵詞 | 原發性隅角閉鎖型青光眼; Acute primary angle closure glaucoma; Chronic primary angle closure glaucoma; Clinical features; |
語文 | 中文(Chinese) |
中文摘要 | 本篇研究的目的乃藉由分析急性及,慢性原發性隅角閉鎖型青光眼的臨 床表徵,以期瞭解早期青光眼。經由病歷回顧,我們對於原發性隅角閉鎖型青光 眼的病人,進行隨機取樣,共收集了40位急性病人及60位慢性病人。急性病人的 平均年齡是59.2±8.4歲,其中男女比為1:4.7。在急性發作時,所有的病人都有視 力模糊,眼睛睫狀充血的現象,其中38位(95)感到眼睛疼痛,31位(78)感到頭痛, 24位(60)會噁心,只有16位(40)會嘔吐。兩眼眼壓同時大於21毫水汞柱的病人占 20,病眼視神經杯狀凹陷與視神經盤比例大於百分之五十或比例大於對側眼百分 之二十的病人占32;相反的,慢性組病人的平均年齡是62.3±8.9歲,男女比為1:2, 藉由回想過去的生活經驗,12位(20)病人沒有任何異狀,23位(38)在特定的眼睛時 有模糊的現象,14位(23)偶而會有特定眼睛的疼痛,12位(20)曾有單側頭痛的經 驗。非特異性的表徵:例如眼睛疲勞、環形光暈及溢淚則分別占18、7及5。本篇 的結論是急性及慢性原發性隅角閉銷型青光眼病人,在年齡上,不具有統計學上 的差異性。但女性有較高的發生率,尤其是急性原發性隅角閉鎖型青光眼的病 人。由於,漫性原發性隅角閉鎖型青光眼的臨床表徵不具特異性。我們建議,眼 科醫師除注意其臨床表徵以外,對中老年人應定期作進一步的眼睛檢查,以期早 期發現青光眼而加以治療。 |
英文摘要 | We studied the clinical features of 40 acute typeand 60 chronic type of primary angle-closureglaucoma patients (PACG). The mean age of acutePACG patients was 59.2±8.4 years old. The ratio ofmale to female was 7:33(1:4.7). During the acuteattack, all patients showed blurred vision, ciliaryinjection and comeal edema; 38 (95) had eye pain;31 (78) had headache; 24(60) had nausea; andonly 16 (40) had vomit. Binocular elevated in-traocular pressure (>21 mrnHg) was 20; and theincreased (>50) or asymmetric (>20) cupping/disc was 32. On the contrary, the mean age ofchronic type patients was 62.3±8.9 years old. The ratio of male to female was 1:2. By restropecting thepassed life, 12(20) had no complaints; 23(38) hadmore blurred vision in the specific eye; 14 (23) hadoccasional eye pain; and 12(20) had headache.Nonspecific complaints such as eye soreness and tearing were 18 and 5, respectively. In this study,there was no difference in the mean age between twotypes, but higher ratio of female was attacked, especially on acute type. Chronic primary angle-closureglaucoma was easy to be missed due to insidioussymptoms. We suggested all of the middle agedpeople should accept the intraocular pressure,gonioscope and fundus examinations regularly. |
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