青光眼的诊断与治疗特点

A. A. Bratchuk, S. Anisimova, L. Arutyunyan, S. Anisimov
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引用次数: 0

摘要

目的。目的:探讨青光眼的诊断与治疗特点。材料和方法。10例青光眼青年患者的复杂眼科检查。其中保守治疗3例,其余行非穿透性深部巩膜切除术联合Xenoplast引流植入术。结果。接受手术治疗的患者,特别是青光眼早期患者,能够在稳定病理过程的同时,将视觉功能维持在较高水平。在一例近视和nNDST的未手术患者中,在最大限度的降压治疗下,根据oct发现阴性趋势。在唯一一例斜视患者中,药物治疗(前列腺素类似物)几年来指标稳定。结论。早期及时诊断和实施非穿透性深巩膜切除术是青光眼成功治疗的主要环节。轴型近视眼和青光眼患者应进行心脏学和骨科评估结缔组织损伤的迹象。未分化结缔组织发育不良可能是青光眼发病的病理生理基础。关键词:青光眼;结缔组织遗传性疾病;青光眼
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features of diagnosis and treatment of glaucoma in young people
Purpose. To reveal the features of diagnosis and treatment of glaucoma in a group of young patients. Material and methods. Complex ophthalmological examination of 10 young patients diagnosed with glaucoma. Among them, three are on conservative treatment, the rest underwent non-penetrating deep sclerectomy with Xenoplast drainage implantation. Results. Patients who have undergone surgical treatment, especially in the early stages of glaucoma, are able to stabilize the pathological process, while maintaining visual functions at a high level. In an unoperated patient with myopia and nNDST, on maximum antihypertensive therapy, a negative trend was noted according to OCT. In the only case, a patient with emmetropia has stable indicators for several years on drug treatment (prostaglandin analogues). Conclusion. Timely diagnosis and implementation of nonpenetrating deep sclerectomy in the early stages are the main links in the successful treatment of young glaucoma. Patients with axial myopia and glaucoma should be evaluated cardiologically and orthopedically for signs of connective tissue damage. Undifferentiated connective tissue dysplasia may be the pathophysiological basis of the glaucoma process. Key words: glaucoma of a young age, inherited disorders of connective tissue, juvenile glaucoma
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