晚期青光眼在不同血压段时靶眼压的选择

摘要

目的:探讨晚期青光眼在不同血压段时病程的进展规律 ,并找出在不同血压段时的治疗靶眼压.方法:长期随访晚期青光眼患者的血压及眼压值 ,并分别做视野检查 ,通过A G IS评分法判断病程的进展.并统计出不同血压时的治疗靶眼压值.结果:随访血压越低 ,视野受损进展越快.当视野无进展时 ,血压越低 ,其随访眼压也越低.血压与目标眼压之间呈近似线性关系.结论:低血压是晚期青光眼病程中的危险因素之一.晚期青光眼患者对靶眼压的选择应根据不同血压段来选择.%Objective:To explore progress rule of advanced stage glaucoma and find out the target intraocular pressure in different blood pressure .Methods:Long term follow-up the intraocular pressure and blood pressure .Judge the course of glaucoma by AGIS .find out the target intraocular pressure in different blood pressure .Results:For the lower blood pressure ,impaired vision progress more quickly .When vision without progress ,the lower blood pressure ,the lower intraocular pressure there has been approximate linear relationship between blood pressure and the target intraocular pressure .Conclusion:Low blood pressure is one of the risk factors of adanced glaucoma progression .The target in-traocular pressure should be selected according to different blood pressure .