38例儿童高眼压临床分析

发布时间：2018-04-13 03:42

本文选题：高眼压 + 儿童　；参考：《重庆医科大学》2011年硕士论文

【摘要】：目的:讨论儿童高眼压特点及其产生的相关因素,分析儿童高眼压的危险性。方法:对我院门诊2010年3月至2011年2月检查非接触眼压(non-contact intraocular pressure,NCIP)高的儿童38例64只眼、年龄在5-14岁进行屈光度、中央角膜厚度(central corneal thickness,CCT)、视网膜视神经纤维层(retinal nerve fiber layer,RNFL)厚度、杯/盘(cup/disc,C/D)、视野(visual field,VF)、光学相关断层扫描(optical coherence tomography,OCT)等检查并随访,对其性别、年龄、眼别、屈光度、中央角膜厚度与眼压进行分析。结果:在38例64只眼中,眼压范围在21-34mmHg之间,平均25.58±2.90mmHg;其中男21例34只眼,女17例30只眼,眼压与性别差异无统计学意义(P=0.090.05);左眼33只眼,右眼31只眼,左右眼眼压差别无统计学意义(P=0.0840.05);年龄范围在5-14岁,平均11.21岁,年龄差别与眼压之间有统计学意义(P=0.0340.05)。中央角膜厚度范围为(490-623)um,平均为(548.69±36.59)um,28只眼中央角膜厚度560um,平均(586,.39±14.39)um,36只眼中央角膜厚度≤560um,平均(519.36±15.10)um,中央角膜厚度与眼压成正相关关系;屈光度范围为:-(0.25～6.75)D,平均屈光度:-(2.66±1.98)D,其中正视眼及-3.00D的有37只眼,-(3.00～6.00)D有24只眼,-6.00D有3只眼;不同程度近视度数之间眼压有差异,尤其在低度近视与中度近视间差异较明显,中度近视较低度近视眼压稍高。在随访过程中,有1例发展为青少年型青光眼,并予以降眼压治疗,青光眼发病率:2.63%。有3例经过屈光矫正配镜后眼压较配镜前有较为明显的下降,提示原因可能为配镜后睫状肌痉挛有所减轻,小梁网通道有所开放,房水流出增多。结论:儿童高眼压与中央角膜厚度密切相关,还与近视度数相关,低度近视较中度近视眼压低。青少年近视应常规行眼压检查以及早发现有无高眼压,预防青光眼的发生。
[Abstract]:Objective: to analyze the risk of high intraocular pressure (IOP) in children.Methods: from March 2010 to February 2011, 38 cases (64 eyes) with high non-contact intraocular pressure (NCIP) were examined for diopter, central corneal thickness and retinal nerve fiber layer thickness.The results were as follows up: sex, age, eye, diopter, central corneal thickness and intraocular pressure.Results: in 64 eyes of 38 cases, the range of IOP was 25.58 卤2.90 mm Hg.There were 34 eyes in 21 males and 30 eyes in 17 females, there was no significant difference between IOP and gender, 33 eyes in left eye and 31 eyes in right eye.There was no significant difference in the pressure between left and right eyes (P < 0.05), but the age range was 5-14 years (mean 11.21 years). There was statistical significance between the age difference and intraocular pressure (P 0.034 0.05).The central corneal thickness ranged from 490-623 渭 m with an average of 548.69 卤36.59 渭 m (n = 28). The mean central corneal thickness was 586 渭 m (n = 36) and 519.36 卤15.10 渭 m (n = 36). There was a positive correlation between the central corneal thickness and intraocular pressure (IOP) in 36 eyes (n = 36).The range of diopter was: -0.25 ~ 6.75 D.The average diopter was -2.66 卤1.98 d.The mean diopter was -2.66 卤1.98 D.There were 37 eyes with positive vision and -3.00D with -3.00D, 24 eyes with -6.00D and 3 eyes with different degrees of myopia, especially the difference of intraocular pressure between low myopia and moderate myopia.Moderate myopia is slightly higher than low myopia.During follow-up, one patient developed into juvenile glaucoma and was treated with intraocular pressure reduction. The incidence of glaucoma was 2. 63%.The intraocular pressure of 3 cases after refraction correction was significantly lower than that before matching, which suggested that the reason might be that the spasm of ciliary muscle was alleviated, the trabecular meshwork channel was opened, and the outflow of aqueous humor was increased.Conclusion: high IOP is closely related to central corneal thickness and myopia degree, low myopia is lower than moderate myopia.Intraocular pressure examination and early detection of high intraocular pressure should be performed to prevent the occurrence of glaucoma in juvenile myopia.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R775

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