Leibovitch Igal, Kurtz Shimon, Almog Yehoshua
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicien, Tel-Aviv University, Tel-Aviv, Israel.
Ophthalmologica. 2002 Jan-Feb;216(1):71-2. doi: 10.1159/000048302.
A 52-year-old woman was diagnosed as having Adie's tonic pupil in her right eye. She reported few episodes of blurring of vision in her right eye in the recent few months. On one of the routine follow-up visits, right intraocular pressure (IOP) was 70 mm Hg and on gonioscopy the angle was closed 360 degrees. Medical treatment resulted in IOP reduction and laser iridotomy was then performed. This is, to our knowledge, the first description of intermittent angle-closure glaucoma attacks induced by a tonic pupil. The possibility of angle-closure glaucoma should be considered in patients with a tonic pupil, especially with symptoms of blurred vision or ocular pain.
一名52岁女性被诊断为右眼患有阿-罗氏强直性瞳孔。她报告称在最近几个月里右眼有几次视力模糊发作。在一次常规随访中，右眼眼压为70毫米汞柱，房角镜检查显示房角360度关闭。药物治疗使眼压降低，随后进行了激光虹膜切开术。据我们所知，这是首次对强直性瞳孔诱发的间歇性闭角型青光眼发作进行描述。对于患有强直性瞳孔的患者，尤其是伴有视力模糊或眼痛症状的患者，应考虑闭角型青光眼的可能性。
