台灣中部幼兒性青光眼的評估

Survey of Childhood Glaucoma in Central Taiwan

王俊元(Chun-Yuan Wang) ； 李世煌(Shi-Huang Lee)

《中華民國眼科醫學會雜誌》 38卷4期 (1999/12) Pp. 621-626

https://doi.org/10.30048/ACTASOS.199912.0007

摘要

幼兒性青光眼的治療，一般公認的方法為手術，包含小樑網切開術(Trabeculotomy)、小樑網切除術(Trabeculectomy)、隅角切開術(Goniotomy)及隅角穿刺術(Goniopuncture)，本篇報告搜集了台中榮總14年來(1983~1996)幼兒性青光眼的病例(59 eyes)。區分為三類：(1)原發性(Primary)；(2)合併其他眼球異常(with ocular anomaly)；(3)其他病變引起之次發性青光眼(Secondary to other ocular lesion)，接受手術，其手術成功率分別為：93.1%、87.5%、77.8%。結果證明手術治療對幼兒性青光眼，有很高的成功率，尤其是原發性幼兒青光眼，效果更佳！

並列摘要

This retrospective study presents the results of 41 children (59 eyes) with glaucoma who were managed at Taichung veterans general hospital from 1983 to 1996. The patient’s age at diagnosis ranged from 15 days to 15 y/o (mean 5.8 y/o). The patients were divided into 3 groups, group 1: primary childhood glaucoma (32 eyes); group 2: glaucoma associated with congenital anomalies (8 eyes); group 3: glaucoma secondary to other ocular pathology (19 eyes). The most prevalent glaucoma was primary childhood glaucoma (54%). The presenting symptoms and signs in group 1 and 2 were epiphora (50%), and corneal haziness (45%); diagnosis was made before 5 y/o in 65% of cases. Surgery was performed in 91% of the eyes in group 1; 87.5% in group 2 and 95% in group 3. The surgical successful rate (IOP＜20mmHg) were 93.1% in group 1, 87.5% in group 2, 77.8% in group 3. The best visual prognosis was in group 1.

並列關鍵字

Glaucoma ； Trabeculectomy ； Trabeculotomy ； Gonitomy ； and Goniopuncture