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目的 :分析近视眼合并青光眼的临床特点。方法 :分析观察近视合并青光眼 43例、86眼。结果 :( 1 ) 43例患者不同的屈光度发病率不同 ;( 2 )高度近视青光眼发病率高于低度者 ,本组病例 >- 6D 34例 ,占79.0 7% ;<- 5.75D 9例 ,占 2 0 .93% ;( 3)眼压升高是近视合并青光眼的主要特征 ;( 4 )视盘形态不规则较显著 ;( 5)视网膜神经纤维层检查发现早期青光眼结构改变的敏感性很高。结论 :近视、青光眼两病并存致病程缓慢而隐蔽 ,症状不典型 ,体征较特殊 ,易漏诊、误诊 ;通过系统检查 ,是可以发现和确诊的。
Objective: To analyze the clinical features of myopia combined with glaucoma. Methods: Analysis of myopia with glaucoma in 43 cases, 86 eyes. Results: (1) 43 cases of different diopter incidence rates; (2) high incidence of myopia glaucoma was higher than the low incidence of this group of patients> - 6D 34 cases, accounting for 79.0 7%; <- 5.75D 9 cases, Accounting for 20.93%; (3) elevated intraocular pressure is the main characteristic of myopia with glaucoma; (4) disc morphology is more significant; (5) retinal nerve fiber layer examination found that early glaucoma structural changes are highly sensitive . Conclusions: Myopia and glaucoma coexist slowly and subtly, the symptoms are not typical, the signs are special, easy to misdiagnosis and misdiagnosis. Through systematic examination, it can be found and diagnosed.