先天性青光眼之隅角顯現及分類

Gonioscopic Finding and Classification in Congenital Glaucoma

傳堯安(Yao-An Fu) ； 廖瑞青(Zuei-Ching Liaw)

《中華民國眼科醫學會會刊》 27卷1期 (1988/05) Pp. 147-152

https://doi.org/10.30048/ACTASOS.198805.0028

摘要

於162隻眼患先天性青光眼的病患，依據隅角鏡的顯觀，將角膜、虹膜，小樑網狀組識的結構，歸類為三大類，①為小樑網異常(Trabeculodysgenesis)②為虹膜小樑網異常(lridotrabecul-odysgenesis)③角膜虹膜小樑網異常(Corneo-iridotrabecu-lodysgenesis)。其中131隻眼屬第一類，16隻眼屬第二類，15隻眼屬第三類。件有全身疾病而以第一類隅角分類所見者，3例為Sturge-Weber Syndrome, 3例為Neurofibromatosis。一種完善的分類法應給予代表不同的結構變化，原因，遺傳方式，預後和治療方法，本文探討此分類法的可行性及其優缺點，繼而由此分類法是否傳統的小樑切開術為唯一治療的途徑，此乃下次研究的主題。

並列摘要

According to gonioscopic findings including cornea, iris, trabecular meshwork structure, we classified 162 eyes with congenital glaucoma into 3 groups. 131 eyes with trabeculodysgenesis. 16 eyes with iridotrabeculodysgenesis, 15 eyes with corneoirido trabeculodysgenesis were noted. Among 131 eyes, 3 eyes with neurofibromatosis, 3 eyes with Sturge-Weber syndrome belonged to trabeculodysgenesis group. One should be determind by recongnizing the specific angle structural alternation associated with the congenital glaucoma. We hope the types of goniodysgenesis can provide the clue to appropriate therapy, prognosis, and even inheritance modes.

並列關鍵字

congenital glaucoma ； trabeculodysgenesis ； iridotrabeculodysgenesis ； corneoiridotrabeculodysgenesis