虹膜颜色与青光眼类型的关系

Angelina Kević, Nikola Lisičić, M. Božić
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引用次数: 1

摘要

青光眼是一组病因差异很大的疾病,其特点是典型的视神经损伤和视野缺损。这种疾病最常见的原因是眼压(IOP)高于视神经头血管系统所能承受的水平。目的:通过横断面研究,探讨虹膜颜色与青光眼类型的相关性。材料与方法:在塞尔维亚大学临床中心眼科诊所治疗的青光眼患者共117例,在青光眼诊所记录相关资料,包括虹膜颜色、诊断和治疗的青光眼类型。观察虹膜颜色与患者性别、年龄、青光眼类型、双眼IOP值(IOP OD/OS)、双眼中央角膜厚度(CCT OD/OS)的相关性。结果:本组患者中男性占38.5%,女性占61.5%。原发性开角型青光眼(POAG)占34.2%,原发性闭角型青光眼(PCAG)占28.2%。蓝色虹膜占16.2%,绿色占6.8%,浅棕色占29.9%,深棕色占47%。右眼平均IOP为17.6±6.5mmHg,左眼平均IOP为16.9±6.1mmHg, CCT平均IOP为547.6±69.3mm,左眼平均IOP为546.6±64.2mm。青光眼类型与性别(p = 0.001)、青光眼类型与虹膜颜色(p = 0.031)、CCT与虹膜颜色(p = 0.027)具有统计学意义。结论:虹膜颜色与青光眼类型的相关性有统计学意义,表明虹膜颜色深的人比虹膜颜色浅的人更容易发生青光眼。性别、IOP与虹膜颜色的关系尚不明确。结果显示,青光眼在女性中的发病率较高,而在虹膜较深的人群中,CCT值也较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between iris color and glaucoma type
Introduction: Glaucoma is a group of diseases, etiologically very different, which is characterized by typical damage to the optic nerve and visual field defects. The most common cause of this disease is higher intraocular pressure (IOP) than the vascular system of the optic nerve head can withstand. Aim: The aim of our study was to examine the correlation between iris color and glaucoma type through a cross-sectional study. Material and methods: Total of 117 patients with glaucoma that were treated at the Clinic for Ophthalmology of the University Clinical Center of Serbia, in the glaucoma clinic, relevant data was recorded, including iris color and the type of glaucoma that was diagnosed and under therapy. The correlation between iris color and sex of patients, age, type of glau-coma, values of IOP of both eyes (IOP OD/OS) and central corneal thickness of both eyes (CCT OD/OS) was examined. Results: The population of our patients consisted of 38.5% men and 61.5% women. Primary open angle glaucoma (POAG) was present in 34.2% and primary angle closure glaucoma (PCAG) in 28.2% of patients. Blue iris was found in 16.2%, green in 6.8%, light brown in 29.9% and dark brown in 47% of patients. The mean IOP is 17.6 ± 6.5mmHg for the right and 16.9 ± 6.1mmHg for the left eye, and for CCT 547.6 ± 69.3mm for the right and 546.6 ± 64.2mm for left eye. Statistically significant correlations were found between glaucoma type and sex (p = 0.001), glaucoma type and iris color (p = 0.031) and CCT and iris color (p = 0.027). Conclusion: A statistically significant correlation of iris color and glaucoma type was confirmed , indicating that people with darker irises develop glaucoma more often than people with lighter irises. The relationship between sex and IOP with iris color was not determined. Results show a higher incidence of glaucoma in females, as well as higher values of CCT in people with darker irises.
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