First, congenital glaucoma: According to the age of onset can glaucoma in infants and young glaucoma. Below the age of 30 glaucoma are such areas. The causes of congenital glaucoma is in the process of embryonic development,Immediate angle dysplasia, resulting from the disruption of water caused elevation of intraocular pressure. 25-80% of the patients displayed within six months, 90% of children aged one to be diagnosed when. 10% of patients in the 1-6 age developed symptoms.
1. Infantile Glaucoma: Glaucoma typically 0-3 years old children classified as such. This type of congenital glaucoma is the most common are. Within sick mother, immediately after birth or slow show symptoms. Generally eyes lesions, but not necessarily at the same time onset, but also 25-30% incidence in children with monocular. Clinical manifestations of the eyeball was noticeably high after birth, did were quite similar to cow's eyes so that "bovine" tears, eyelid spasm, corneal opacity unclear, easily agitated crying, poor diet or vomiting, Khan until more systemic symptoms. The prognosis of this type is key timely correct diagnosis, because children are in the eyeball wall developmental stages, Zha intraocular pressure may be normal, but not with fundus examination, the lack of clinical experience glaucoma rich easy mistakes doctor attending such patients, once diagnosis, optic nerve atrophy has already.
2. Young glaucoma: onset age 3-30 years old. Clinical manifestations of this type of open-angle glaucoma and similar incidence of concealment, great harm. In recent years this type will occur in patients with myopia and there is the rising incidence of the trend. More than 90 percent of the patients showed no symptoms typical glaucoma, but "myopia, as fatigue, headache, insomnia," and even unconsciously blind from medical, detailed inspections will know is glaucoma. Check out some glaucoma patients, but its own mistakes is that what I feel now and no vision can be, it is not possible as the doctor said that serious, truly blind, then regret it is too late, suffering only in the dark the tide over the lifetime.
Second, the primary glaucoma: According to the morphology of anterior chamber angle before onset and priorities, is divided into acute and chronic angle-closure glaucoma, open angle glaucoma, and so on:
1. Acute angle-closure glaucoma: This type of multiple on the elderly, over 40 years of age accounting for 90 percent. The higher incidence of female, male to female ratio was 1:4. Swift, symptoms light show, when the incidence of anterior chamber narrow or completely shut down, had a sudden bout of intense performance eyes bulging headaches, vision is decreasing, eyeball hard as stone, conjunctival congestion, nausea and vomiting, constipation big knot, high blood pressure, this when systemic symptoms heavier easily misdiagnosed as gastroenteritis, encephalitis, headache and other neurological diseases. Without timely diagnosis and treatment of 24-48 hours can be totally blind and dark flu, this time called "fulminant glaucoma," but a certain number of patients with clinical pain tolerance light of a strong performance for the only orbital and ocular discomfort, very while no eye symptoms, and transferred to the forehead, ears, maxillary sinus, dental and other pain. Acute angle-closure glaucoma, but in reality is a result of chronic angle-closure glaucoma repeatedly deferred from.
2. Chronic angle-closure glaucoma: This type of primary glaucoma patients more than 50%, onset age over 30 years old, in recent years, with the accelerating pace of life, society is becoming increasingly fierce, mental laborers have dramatically increased the trend, this type Attack general have obvious incentives, such as emotional as fatigue, with eyes, long-term insomnia, habitual constipation, menstrual women, or local, systemic medication properly, can be induced, showed eye dryness , fatigue discomfort, pain,or vision problems, as Hong, dizziness pain, insomnia, high blood pressure. Rest can alleviate some symptoms in patients with no blind, inspection, or intraocular pressure may be normal fluctuations, not too high 20-30 mm Hg or about early fundus can be normal, the most susceptible to this type of misdiagnosis. So before recurrent angle can be closed once the adhesion formation fulminant glaucoma (Ref: acute angle-closure glaucoma).
3. Primary open-angle glaucoma: multi occurred in 40 more persons. 25% of the patients had family history. The vast majority of patients with no obvious symptoms, some up to the blind have no discomfort. Before the attack angle open. The diagnosis of this type of the most critical, if Western medicine have been diagnosed fundus changes significantly, it must be comprehensive, excluding any one with serious signs of glaucoma patients, early diagnosis and early treatment, not to wait until diagnosed as non-only to the treatment of glaucoma, then when he has lost the best treatment time.
Third, secondary glaucoma: the eye and systemic disease> Glaucoma is a disease caused by such, causes quite complex, a wide range of the most common is the only briefly several secondary glaucoma:
1. Ametropia (myopia and hyperopia) secondary glaucoma: As refractive conditioning system disorders, ciliary muscle dysfunction, the constant water secretion loss, coupled with the roots of oppression before the iris angle, the water from disruption, caused IOP increasing the clinical characteristics of these patients are conscious as fatigue symptoms or no obvious discomfort, wearing glasses can not be corrected visual acuity, easily misdiagnosed, it is ametropia Once patients with a history of unexplained eye abnormalities should be a good time to find glaucoma the doctor abundant clinical experience, detailed examination.
2. Kok, conjunctiva, uveitis secondary glaucoma: intraocular inflammation caused the water turbidity, ciliary muscle, iris, corneal edema, shallow angle, or pupil adhesion, trabecular meshwork obstruction, the water can not be discharged from normal IOP elevated. The current Western medicine in general this disease with antibiotics, hormones symptomatic treatment, human disturbance of their own immune function, recurrent illness, protracted refractory.
3. Cataract secondary glaucoma: Crystal turbidity in the development process, edema swelling, or translocation lead to a relatively narrow anterior chamber, the water from disruption caused elevation of intraocular pressure, once after cataract surgery, and soon optic atrophy blind.
4. Traumatic glaucoma: torn anterior chamber angle, iridodialysis or hyphema, vitreous hemorrhage, retinal shocks to the water secretion, blocked from the way secondary glaucoma optic atrophy, Chinese medicine treatment, if positive prognosis good, surgery can repair the damage in intraocular organizations, but its cause could not be rectified the fundus injury, so this type of patients in general was treated by Western medicine, that good enough is no longer the treatment, once found to have optic atrophy, causing serious eyesight damage.
Fourth, mixed glaucoma: two or more primary glaucoma coexist with the various types of clinical symptoms of the merger.
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