第十一章 青光眼

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The second hospital of Medical college, Xi’an Jiaotong University 第第 第第第

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第十一章 青光眼. 第一节 概述 summarize of glaucoma. 一、青光眼的概念. 概述. 青光眼是一组以特征性视神经萎缩和视野缺损为共同特征的疾病,病理性眼压升高是主要危险因素之一。 青光眼是不可逆性致盲眼病,有一定遗传趋向。直系亲属中 10%~15% 个体可发生。 人群发病率: 0.21~1.64% 。. 二、眼压与青光眼. 概述. 眼压:眼球内容物对眼球壁的压力。 正常眼压: 10~21mmHg ,平均值为 16mmHg , (1mmHg=0.133kPa ) 。 正常眼压双眼对称,一般差异

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(Glaucoma)The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


0.21~1.64%
The second hospital of Medical college, Xi’an Jiaotong University


<5mmHg
24h< 8mmHg

The second hospital of Medical college, Xi’an Jiaotong University
Goldmann

The second hospital of Medical college, Xi’an Jiaotong University
21mmHg
The second hospital of Medical college, Xi’an Jiaotong University

(ocular hypertension)

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University

primary glaucoma
The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University






The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
(acute ACG)
The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

acute ACG
The second hospital of Medical college, Xi’an Jiaotong University

40mmHg
acute ACG
The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
ACG
The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University




The second hospital of Medical college, Xi’an Jiaotong University
chronic ACG
The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
ACG
The second hospital of Medical college, Xi’an Jiaotong University
ACGOAG

chronic ACG
The second hospital of Medical college, Xi’an Jiaotong University
(plateau iris )
Schwalbe

The second hospital of Medical college, Xi’an Jiaotong University


Schlemm
The second hospital of Medical college, Xi’an Jiaotong University
POAG
:
The second hospital of Medical college, Xi’an Jiaotong University





POAG
The second hospital of Medical college, Xi’an Jiaotong University
:
The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


CD0.2
The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

POAG-
The second hospital of Medical college, Xi’an Jiaotong University

POAG-
The second hospital of Medical college, Xi’an Jiaotong University
C/D=0.8
C/D=0.9
C/D=0.8
The second hospital of Medical college, Xi’an Jiaotong University



POAG-
The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University
POAG-
The second hospital of Medical college, Xi’an Jiaotong University

POAG
The second hospital of Medical college, Xi’an Jiaotong University

:
.
POAG
The second hospital of Medical college, Xi’an Jiaotong University







The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
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The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
β-
The second hospital of Medical college, Xi’an Jiaotong University

β2
The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

(diamox) 0.25g0.125g23
2%(dorcolamide)
The second hospital of Medical college, Xi’an Jiaotong University

2~3h

The second hospital of Medical college, Xi’an Jiaotong University
()

The second hospital of Medical college, Xi’an Jiaotong University




The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

(cyclocryotherapy)
(cyclodiathermy)
(cyclophotocoagulation)

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University
:
The second hospital of Medical college, Xi’an Jiaotong University
40%~80%5~10

The second hospital of Medical college, Xi’an Jiaotong University
ACG

The second hospital of Medical college, Xi’an Jiaotong University
()
The second hospital of Medical college, Xi’an Jiaotong University
“”“”

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

ocular hypertension
The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University

secondary glaucoma
The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

(glaucomatocyclitic crisis)
KPPOAG

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University




The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University





The second hospital of Medical college, Xi’an Jiaotong University
(neovascular glaucoma)

The second hospital of Medical college, Xi’an Jiaotong University

1%~2%

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

congenital glaucoma
The second hospital of Medical college, Xi’an Jiaotong University






The second hospital of Medical college, Xi’an Jiaotong University
80%165%70%
The second hospital of Medical college, Xi’an Jiaotong University

(infantile glaucoma)

The second hospital of Medical college, Xi’an Jiaotong University



The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University

The second hospital of Medical college, Xi’an Jiaotong University


The second hospital of Medical college, Xi’an Jiaotong University
14
The second hospital of Medical college, Xi’an Jiaotong University

(juvenile glaucoma)
The second hospital of Medical college, Xi’an Jiaotong University

Axenfeld-Rieger
Sturge-Weber
Marfan
Marchesani
The second hospital of Medical college, Xi’an Jiaotong University