青少年型青光眼发病隐蔽,危害性极大,是一种具有遗传性的青少年常见致盲眼病之一。近年来此型多发生于近视患者且有发病率不断上升的趋势。90%以上的患者并不表现为典型青光眼症状,而是以"近视、视疲劳、头痛、失眠",甚至不知不觉失明而来就诊,详细检查才诊断为青光眼。所以必须对此病提高警惕,以便早期发现。其临床表现、发展过程、治疗原则及预后与原发性开角青光眼相似。我们综述了近年来国内外关于青少年型青光眼药物、激光及手术治疗的相关知识及进展,希望为青少年型青光眼患者的治疗提供一些参考。

Juvenile glaucoma,one of the common hereditary blindness-causing diseases,has the character of hidden incidence,which causes great danger to the patient.In recent years,this type of glaucoma most commonly occurs in myopia patients with a rising trend.Of the patients,90% do not have the typical glaucoma symptoms,but with "myopia,visual fatigue,headaches,insomnia",and even unconsciously blindness,for which they had the treatment,which turned out to be glaucoma with detailed examination.Therefore,we must be vigilant about the disease for early detection.The clinical manifestations,development process,principles of treatment and prognosis are similar to those of primary open angle glaucoma.This paper reviews the domestic and abroad research advances in drug,laser as well as surgical treatment of juvenile glaucoma.It is hoped that these data can provide some guidance for the treatment of juvenile glaucoma.

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