Inatani M, Tanihara H, Honjo M, Kido N, Honda Y
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.
J Cataract Refract Surg. 2000 Oct;26(10):1533-6. doi: 10.1016/s0886-3350(00)00471-5.
To elucidate the clinical characteristics of secondary glaucoma associated with subluxation of the crystalline lens.
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, and Department of Ophthalmology, Tenri Hospital, Nara, Japan.
This retrospective study comprised 14 eyes of 13 patients with uncontrolled intraocular pressure (IOP) and lens subluxation. The subluxated lens was extracted through surgery.
Angle closure caused by the subluxated lens was complicated in 3 eyes. In the remaining 11 eyes, uncontrolled IOP elevation was found despite the presence of deep anterior chambers and wide open angles. A mean of 14.1 months +/- 13.7 (SD) after cataract surgery, IOP was well controlled (lower than 21 mm Hg) in all 14 eyes. Mean IOP was 15.4 +/- 2.2 mm Hg at the final examination. Complications included transient vitreous hemorrhage in 5 eyes, choroidal detachment in 2 eyes, and retinal tears in 1 eye.
Lens extraction surgery was effective in controlling IOP in eyes with secondary glaucoma associated with lens subluxation.
阐明与晶状体半脱位相关的继发性青光眼的临床特征。
日本京都大学医学研究生院眼科与视觉科学系以及奈良天理医院眼科。
这项回顾性研究纳入了13例眼压（IOP）控制不佳且晶状体半脱位患者的14只眼。通过手术摘除半脱位的晶状体。
3只眼出现了由半脱位晶状体导致的房角关闭。在其余11只眼中，尽管前房深且房角开放，但仍发现IOP持续升高。白内障手术后平均14.1个月±13.7（标准差），所有14只眼的IOP得到良好控制（低于21 mmHg）。最后一次检查时平均IOP为15.4±2.2 mmHg。并发症包括5只眼出现短暂性玻璃体出血，2只眼出现脉络膜脱离，1只眼出现视网膜裂孔。
晶状体摘除手术对于控制与晶状体半脱位相关的继发性青光眼患者的IOP有效。
