Kawana Keisuke, Okamoto Fumiki, Nose Harumi, Oshika Tetsuro
Department of Ophthalmology, University of Tsukuba, Ibaraki, Japan.
Am J Ophthalmol. 2003 May;135(5):717-8. doi: 10.1016/s0002-9394(02)02152-9.
To describe a case of plateau iris associated with bilateral Adie's pupil.
Interventional case report.
A 54-year-old woman presented with pain in her right eye and headache. Intraocular pressure was 34 mm Hg in the right eye. Light reflex was defective bilaterally.
Ultrasound biomicroscopic imaging revealed normal anterior chamber depth and narrow angle. The ciliary processes were situated anteriorly. The eyes showed supersensitivity to 0.125% pilocarpine. The patient was diagnosed as having bilateral angle-closure glaucoma induced by Adie's pupil and plateau iris.
Mild pupillary dilation caused by Adie's pupil may have played a role in the development of angle closure in the plateau iris configuration of our patient.
描述一例与双侧阿-罗氏瞳孔相关的高褶虹膜综合征病例。
介入性病例报告。
一名54岁女性因右眼疼痛和头痛就诊。右眼眼压为34毫米汞柱。双侧光反射均异常。
超声生物显微镜成像显示前房深度正常且房角狭窄。睫状体位置靠前。双眼对0.125%毛果芸香碱超敏。该患者被诊断为阿-罗氏瞳孔和高褶虹膜综合征所致的双侧闭角型青光眼。
阿-罗氏瞳孔引起的轻度瞳孔散大可能在该患者高褶虹膜形态的房角关闭发展过程中起了作用。
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