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目的 正确评估青光眼睫状体炎综合征 (PSS)的预后 .方法 对 15 a来收集到的 145例 PSS患者进行视野、眼压等项追踪观察 ,并以同期观察的 16 6例原发性开角型青光眼 (POAG)作为对照组 .结果 PSS和 POAG的视野损害发生率分别为 35 .4%和 93.4% .PSS之损害 72 .1%为早期 ,而POAG则 78.92 %为中、晚期 ;但 PSS患者中约有 10 %发生了中晚期损害 ,且有 2例完全失明 .有损害的 PSS患者之年龄较大 ,病程较长 ,间歇期眼压较高 ,双眼受累、2 4h眼压曲线异常及缺乏眼压交叉现象者较多 .结论 虽然 PSS之视野损害远较 POAG少而轻 ,但其预后不可过于乐观 .注意观察眼压动态变化有助于预后评估 ,单纯的 PSS亦可导致严重损害
Objective To evaluate the prognosis of glaucomatous ciliary body syndrome (PSS) correctly.Methods 145 cases of PSS collected in 15 years were followed up for visual field and intraocular pressure POAG was used as the control group.Results The incidence of visual field damage of PSS and POAG were 35.4% and 93.4% respectively.The damage of PSS was 72.1% in the early stage and POAG was 78.92% About 10% of patients with PSS have advanced to advanced lesion, and 2 have complete blindness. Patients with impaired PSS are older, have longer duration, have higher intraocular pressure during intermission, have binocular involvement and abnormal intraocular pressure curve at 24 hours And the lack of intraocular pressure cross phenomenon were more.Conclusion Although PSS visual field damage is much less than POAG and light, but its prognosis should not be overly optimistic.Observe the dynamic changes of intraocular pressure contribute to the prognosis of assessment, PSS alone can also cause serious damage