青光眼睫状体炎综合征视野损害的相关因素分析

摘要

OBJECTIVE To analyze the visual field damage condition and its related factors in Posner-Schlossman syndrome (PSS). METHODS A total of 147 glaucomatocyclitic crisis cases (165 eyes) were collected in outpatient clinic of our hospital between2007 and 2015. They were divided into two groups as visual field damage group, non visual field damage group. Information involving the disease course, anterior chamber angle examination, single or double eyes affected, ages, relapse, family history of glaucoma were recorded to evaluate the relationships with the visual field. RESULTS The incidence rate of visual field damage in patients with PSS was 35.1％. Patients with visual field damage showed elder age and longer cours-es (P<0.01). The incidence rate of visual field damage was higher than patients with features as bilateral eye affected, narrow anterior chamber angle, family history of glaucoma and recurrent onset respectively. CONCLUSIONS The visual field defect in patients with PSS occurred more fre-quently in elder and recurrent patients, patients with long disease course and family history of glaucoma, patients with bilateral onset and narrow anterior chamber angle.%目的 分析青光眼睫状体炎综合征(Posner-Schlossmann syndrome,PSS)的视野损害特点及可能的危险因素.方法 回顾性临床分析.2007年—2015年在我院门诊就诊的青光眼睫状体炎综合征患者147例(165只眼),按有无视野损害分为有视野损害组和无视野损害组,分析比较两组患者病程、房角、单/双眼、年龄、初发/复发及青光眼家族史等情况的差异.结果 147例(165只眼)PSS患者中出现视野损害者48例(58只眼),视野损害发生率为35.1％.与无视野损害者比较,有视野损害者的平均年龄更大(49.23岁>33.29岁,P<0.01),平均病程更长(9.12 d>5.21 d,P<0.01).双眼发病者视野损害发生率高于单眼发病者(55.6％>29.5％,P<0.05),有窄房角眼发生视野损害的比例高于宽房角眼(82.8％>9.3％,P<0.001),有青光眼家族史者发生视野损害的比例高于无家族史者(83.7％>7.1％,P<0.001),复发眼发生视野损害的比例高于初次发病眼(80.3％>7.8％,P<0.001).结论 病程较长、窄房角、双眼受累、年龄较大、反复发作、青光眼家族史者可能是PSS出现视野损害的危险因素,应引起重视.