玻璃体切除联合硅油注入术后有晶状体和无晶状体患者的瞳孔阻滞性青光眼

Pupil block glaucoma in phakic and pseudophakic patients after vitrectomy with silicone oil injection.

作者信息

Jackson T L, Thiagarajan M, Murthy R, Snead M P, Wong D, Williamson T H

机构信息

Rayne Institute, Academic Department of Ophthalmology, St Thomas' Hospital, Lambeth Palace Rd., London, SE1 7EH United Kingdom.

出版信息

Am J Ophthalmol. 2001 Sep;132(3):414-6. doi: 10.1016/s0002-9394(01)00991-6.

DOI:10.1016/s0002-9394(01)00991-6

PMID:11530062

Abstract

PURPOSE

To describe pupil block glaucoma in phakic and pseudophakic patients after vitrectomy with silicone oil injection.

DESIGN

Interventional case series.

METHODS

Cases were collected from January 1997 to July 2000 from three tertiary referral centers.

RESULTS

Seven phakic patients (seven eyes) and one pseudophakic patient (one eye) presented 1 to 90 days after vitrectomy and silicone oil injection with intraocular pressures of 36 to 70 mm Hg. Five patients had an observed or potential weakness of the iris-lens diaphragm. Treatment with Nd:YAG-laser peripheral iridotomy or inferior iridectomy provided a temporary reduction in intraocular pressure for some patients, but all eventually required removal of silicone oil.

CONCLUSION

Pupil block glaucoma after silicone oil injection is well recognized in aphakic patients, but ophthalmologists should be aware that it can occur in phakic and pseudophakic patients, particularly in complicated cases and patients with a weakness of the iris-lens diaphragm.

摘要

目的

描述在玻璃体切除联合硅油注入术后的有晶状体眼和人工晶状体眼患者中发生的瞳孔阻滞性青光眼。

设计

干预性病例系列。

方法

病例收集自1997年1月至2000年7月间的三个三级转诊中心。

结果

7例有晶状体眼患者（7只眼）和1例人工晶状体眼患者（1只眼）在玻璃体切除联合硅油注入术后1至90天出现眼压为36至70 mmHg的情况。5例患者存在观察到的或潜在的虹膜 - 晶状体隔薄弱。对于部分患者，使用Nd:YAG激光周边虹膜切开术或下方虹膜切除术可使眼压暂时降低，但最终所有患者均需要取出硅油。