健檢病人青光眼盛行率之調查

The Prevalence of Glaucoma in Health Examination Patients

呂志純(Chu-Chen Lu) ； 謝瑞玟(Jui-Wen Hsieh)

《中華民國眼科醫學會雜誌》 33卷3期 (1994/09) Pp. 340-346

https://doi.org/10.30048/ACTASOS.199409.0009

摘要

馬偕醫院從1990年12月1日至1993年9月30日共6,216位健檢病人，這些病人全部經眼科醫師詳細檢查後，篩檢出85例罹患青光眼及32例疑似青光眼病人，其青光眼盛行率為1.37%，其中隅角開放性青光眼為0.61%，而隅角閉鎖性青光眼為0.66%，續發性青光眼為0.10%。隅角開放性青光眼比例較以往國內各報告增加。男女比例除隅角閉鎖性青光眼女性多於男性外，餘皆以男性較多。就各年齡層青光眼盛行率而言，年齡愈高，隅角閉鎖性青光眼盛行率也愈高。至於青光眼的屈光狀態，隅角閉銷性青光眼以正視眼或遠視眼居多，而隅角開放性青光眼則以近視眼佔大部分。續發性青光眼以外傷者最多、男性為主。至於疑似青光眼健檢病人則有待長期追蹤評估。

並列摘要

A glaucoma prevalence study was conducted in the health examination patients in Mackay memorial Hospital during the years of 1990 and 1993. A total number of 6216 patients received meticulous ophthalmological examinations including tonometry, slit-lamp biomicroscopy, fundus examination followed by gonioscopy, automatic perimetry, provocative tests, nerve fiber layer examination and identified by stringent criteria for the diagnosis of glaucoma.
Overall prevalences obtained were primary open-angle glaucoma (POAG) 0.61%, primary angle closure glaucoma (PACG) 0.66%, secondary glaucoma 0.10% and glaucoma suspect was 0.52%. The PACG/POPG ratio was 1.0. The prevalence of POAG seemed to be increasing in recent years. Sex predilection, refraction error were also discussed in our study.

並列關鍵字

Prevalence ； Angle Closure Glaucoma ； Open-Angle Glaucoma