"She this year ability is 11 years old, how can you get glaucoma? Is that the disease that senile talent meets? " the outpatient service of glaucoma specialized subject that Zhejiang visits area of courtyard of ophthalmic hospital Hangzhou, a mom is playing the hand of a little girl, ask Li Jun spends vice director doctor deeply anxiously.
Original, because school check-up discovers eyesight drops,the girl is, coming to a hospital check is myopic. But Doctor Li is thriving (alias) after making groovy inspection, discover however, she double eye intraocular pressure has 40 much (limits of normal intraocular pressure 10 ～ 21mmHg) , very abnormal.
Part of the black in the graph is the area that cannot see, patient (go up graph) with normal person (next graphs) photograph comparing, have the ken of 10% only.
Thriving in Hangzhou an elementary school reads 5 year, the word that uses her mom says, thriving as a child very good, particularly sensible, result is right also, but disposition is a bit indrawn, not very gab.
This year after the Spring Festival, parental discovery is thriving become more and more " good " , quieter and quieter, the start is very slow, appear a little slow. They feel probable is myopic reason, it is good that when arriving, the hospital goes matching a pair of glasses, did not take seriously too.
After new term terms begins, the school arranges check-up, the thriving mom that takes check-up receipt is astonied, does eyesight have 0.25 only?
"Unlikely, eyesight still had 1 last year! " thriving mom is taken the advantage of immediately take her to come to a hospital on the weekend, thinking an examination is myopic.
Through the comprehensive examination of Doctor Li, the eyesight of different key point with thriving discovery 0.25, and the finger that right eye eyesight can see clear doctor only, intraocular pressure is unusually high also, different key point 43.8mmHg, right eye 44.5mmHg, return discovery at the same time, thriving optic nerve is cadaverous, cup dish ratio is 0.95 (the cup of normal optic nerve dish ratio should ≤ 0.3) , this explains intraocular pressure is elevatory is not 9 months, probable already several years, long-term high intraocular pressure oppressed optic nerve, optic nerve had appeared serious atrophy.
"How to look after children earlier will look? The child is not myopic, however glaucoma! " the word of Doctor Li told an in part, second half sentence pharynx goes back to was not told come out, the girl's adolescent glaucoma has arrived terminal.
"The eye of normal person is just like a balloon, proper atmospheric pressure can let a balloon keep normal figure, and exorbitant baric meeting makes the balloon expands be out of shape. The person's eye also is same, exorbitant intraocular pressure force, can make press press of whole eyeball wall, among them optic nerve is damaged the most easily, bring about optic atrophy, eye shot is short of caustic, eyesight drops, even blindness, and once this kind of change happens, it is very difficult rescue come back. " Doctor Li faces thriving examination result, can't help feeling regretful.
Once glaucoma appears optic atrophy is not reversible"Doctor, is glaucoma of my home child serious? Can you cure? " the diagnosis that mom cannot accept arise suddenly. Did not talk in quiet thriving and whole process, just examine minutely an illness excitedly in mom when, retractive in her bosom.
Doctor Li is thriving opened 3 kinds to fall the eyedrop of intraocular pressure, answer of 3 Queen of heaven measure intraocular pressure, did not fall. "Thriving those who suffer from is adolescent glaucoma, this kind of disease medications the effect is very poor, the operation falls intraocular pressure is businesslike only 80% is control, and optimal result of cure also can manage the current situation only, the optic atrophy that has appeared is irreclaimable, glaucoma makes progress terminal, can happen undertake sexual optic atrophy, will bring about the eye shot that cannot go against a gender finally to be short of caustic and even blindness. Will bring about the eye shot that cannot go against a gender finally to be short of caustic and even blindness..
Doctor Li says, thriving double eye already presented view of shape giving a canal, ken is contractible to 10% normal, special regrettablly.
A lot of people think glaucoma is the patent of old people, but actually, adolescent also can suffer from suffer from glaucoma, the lieutenant general of glaucoma classification standard of our country comes on the age is in 6 ～ is 30 years old of congenital glaucoma definitions between are adolescent glaucoma.
"This ill pathogeny is not clear, the patient often is behaved for euchromosome dominance heredity. As a result of baby of adolescent glaucoma unlike glaucoma can pass eye exterior to be aware of euqally, come on at the same time earlier symptom is not apparent, only intraocular pressure is elevatory, ability of illness of teenage general an account in one's own words is weaker, easy by by accident examine or leakage examine, need us to raise vigilance more. " Doctor Li says.
Myopic degree has increased fast likelihood is the disaster that glaucoma causesShow according to the report, of adolescent glaucoma by accident examine and leakage examine rate are as high as 43.4 ％ , often by by accident examine is myopia.
"Glaucoma and myopia often develop in coordination, glaucoma can promote myopic happening and development, and myopia feels particularly easily to the harm of glaucoma, both interact each other is cause and effect. Thriving fish right eye 125 degrees, different key point 100 degrees myopia, glaucoma brings this. " Doctor Li proposal, show to myopic degree undertake the gender grows (myopia deepens 50 degrees of above one year) teenage, should consider the possibility of glaucoma, check intraocular pressure as early as possible, check optic nerve.
Li Jun spends a doctor to emphasize, the parent discovers child eyesight drops, suggest not cursory ground matchs glasses when myopia, must measure intraocular pressure, grow faster children to myopic degree, more be necessary microscope, eliminate the possibility of glaucoma.
In the meantime, also appeal center of check-up orgnaization, check-up, ophthalmic check-up increases measure intraocular pressure this project, groovy platoon checks glaucoma, get in order to avoid small small age " terminal glaucoma " tragic!
Reporter | Xie Qian
