Badlani Vandana K, Quinones Richard, Wilensky Jacob T, Hawkins Anjali, Edward Deepak P
Department of Ophthalmology and Visual Sciences, 1855 West Taylor, Chicago, IL, USA.
J Glaucoma. 2003 Jun;12(3):198-203. doi: 10.1097/00061198-200306000-00003.
To report the occurrence of angle-closure glaucoma in 2 teenagers.
Observational case reports, review of literature.
Review of case histories, examinations, biometries, visual fields, and ultrasound biomicroscopy findings in 2 teenagers with angle-closure glaucoma.
Intraocular pressure, gonioscopy, Humphrey 24-2 visual field (SITA Standard), and ultrasound biomicroscopy.
The first case involved a 15-year-old white male who presented with an intraocular pressure of 60 mm Hg in the right eye and 24 mm Hg in the left eye and 360-degree appositional closure in both eyes. Ultrasound biomicroscopy revealed prominent bilateral ciliary pigment epithelial cysts pushing the iris anteriorly towards the angle. The second case involved a 14-year-old white male with a strong family history of primary angle-closure glaucoma. The patient had pupillary block and an intraocular pressure of 24 mm Hg in the right eye and 40 mm Hg in the left eye on routine eye examination. Gonioscopy and ultrasound biomicroscopy revealed appositional closure of the angle in all 4 quadrants bilaterally.
Primary angle-closure glaucoma is uncommon in younger individuals. Therefore, the finding of angle-closure glaucoma in a young individual should alert the physician to the possibility of a secondary cause of angle closure, such as iris pigment epithelial cysts. In addition, special attention to family history is important as the configuration of an occludable anterior chamber angle may, in some instances, be inherited.
报告2例青少年闭角型青光眼的发病情况。
观察性病例报告，文献回顾。
回顾2例青少年闭角型青光眼患者的病史、检查、生物测量、视野及超声生物显微镜检查结果。
眼压、前房角镜检查、Humphrey 24-2视野（SITA标准）及超声生物显微镜检查。
第一例为一名15岁白人男性，右眼眼压60 mmHg，左眼眼压24 mmHg，双眼均为360度贴附性房角关闭。超声生物显微镜检查显示双侧睫状体色素上皮囊肿突出，将虹膜向前推向房角。第二例为一名14岁白人男性，有原发性闭角型青光眼的家族史。该患者在常规眼科检查中发现瞳孔阻滞，右眼眼压24 mmHg，左眼眼压40 mmHg。前房角镜检查和超声生物显微镜检查显示双侧4个象限均有房角贴附性关闭。
原发性闭角型青光眼在年轻人中并不常见。因此，在年轻个体中发现闭角型青光眼应提醒医生注意房角关闭的继发原因，如虹膜色素上皮囊肿。此外，由于在某些情况下，可关闭的前房角结构可能是遗传的，因此特别关注家族史很重要。
