国际眼科纵览
國際眼科縱覽
국제안과종람
OREIGN MEDICAL SCIENCES
2014年
4期
221-227
,共7页
青光眼,儿童/治疗%药物治疗%手术治疗
青光眼,兒童/治療%藥物治療%手術治療
청광안,인동/치료%약물치료%수술치료
glaucoma,pediatric/therapy%medicine%surgery
儿童青光眼是指发生在从出生到18岁、多种原因引起的不同类型青光眼所组成的一组疾病.这组疾病在诊断和治疗上存在相当难度,严重危害儿童视力.目前,药物治疗只能采用成年人抗青光眼药物,但药物副作用明显大于成年人;手术治疗的效果并不理想,同时存在一系列并发症、再手术和晚期失败的可能性.本文着重叙述原发性先天性青光眼、先天性白内障术后继发性青光眼和Sturge-Weber综合征继发青光眼这三种常见类型的儿童青光眼的临床特点、临床表现、治疗措施和研究进展.
兒童青光眼是指髮生在從齣生到18歲、多種原因引起的不同類型青光眼所組成的一組疾病.這組疾病在診斷和治療上存在相噹難度,嚴重危害兒童視力.目前,藥物治療隻能採用成年人抗青光眼藥物,但藥物副作用明顯大于成年人;手術治療的效果併不理想,同時存在一繫列併髮癥、再手術和晚期失敗的可能性.本文著重敘述原髮性先天性青光眼、先天性白內障術後繼髮性青光眼和Sturge-Weber綜閤徵繼髮青光眼這三種常見類型的兒童青光眼的臨床特點、臨床錶現、治療措施和研究進展.
인동청광안시지발생재종출생도18세、다충원인인기적불동류형청광안소조성적일조질병.저조질병재진단화치료상존재상당난도,엄중위해인동시력.목전,약물치료지능채용성년인항청광안약물,단약물부작용명현대우성년인;수술치료적효과병불이상,동시존재일계렬병발증、재수술화만기실패적가능성.본문착중서술원발성선천성청광안、선천성백내장술후계발성청광안화Sturge-Weber종합정계발청광안저삼충상견류형적인동청광안적림상특점、림상표현、치료조시화연구진전.
Pediatric glaucoma is a broad term referring to a variety of glaucomas comprising a heterogeneous group of ocular diseases and may occur among individuals from birth to 18 years of age.The paediatric glaucoma presents some of the greatest clinical challenges and can be potentially blinding.At present,medications for adult glaucoma are available to treat pediatric glaucoma,but the risk profiles in children might be more severe than in adults.Surgical results with current techniques are less than outstanding,and are associated with a significant number of complications,re-operations,and late failure.This review summarizes current concepts regarding terminology,classification,epidemiology,medical and surgical treatment,and recent advances with an emphasis on the primary congenital glaucoma,glaucoma following congenital cataract surgery,and glaucoma associated with Sturge-weber syndrome.
