失眠！青光眼找上你

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 18o0e.html
更新日期:2008/11/01 07:20 記者林進修/台北報導
睌上睡不好，或是有睡眠障礙，最好去檢查一下眼睛。眼科醫師臨床觀察發現，晚上睡不好的人，眼睛房水分泌較多，易使眼壓偏高，長久下來罹青光眼的比率也高，若不審慎處理，將活在可能失明的威脅中。


睡眠品質和青光眼，看似完全不相干的兩回事。三軍總醫院眼科主任呂大文表示，正常人的房水分泌日夜不同，晚上睡覺時，房水分泌量約只有白天的六成左右，因此眼壓可維持在正常範圍內，有睡眠障礙的人，到了晚上房水分泌量還是和白天一樣，長期下來眼壓偏高，罹患青光眼的機率也高。


除了房水因素，台北醫學大學附設醫院眼科主治醫師何慧君認為，視神經長期缺氧，也是睡眠障礙者併發青光眼比率偏高的另一原因。她解釋，一天24小時裡，睡眠時間約8個小時，一旦睡眠品質不好、氧氣供應不足，全身神經就受損，視網膜是所有神經中最敏感且又沒有代償機制的一個，受損也最立即而直接。


臨床統計，有睡眠呼吸中止症候群等睡眠障礙的人，約1%最後證實罹患青光眼，但青光眼患者高達八成出現睡眠障礙。因此，她鼓勵睡眠障礙患者到眼科接受視神經及視野檢查，更提醒已證實罹青光眼的人，回過頭來檢查是否有睡眠障礙。

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