Lachkar Y
Institut du Glaucome, Fondation Hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris Cedex 14, France.
J Fr Ophtalmol. 2003 Oct;26 Spec No 2:S49-52.
The incidence of chronic angle closure glaucoma is considerably greater than the incidence of the acute type. This type of glaucoma may mimic primary open angle glaucoma with visual field deterioration, optic nerve alteration and intraocular pressure elevation with a quiet painless eye. Its diagnosis is based on indentation gonioscopy showing peripheral anterior synechiae. The mechanisms of angle closure are the pupillary block, the plateau iris configuration and the creeping form. The treatment of chronic angle closure glaucoma is based on laser peripheral iridotomy.
慢性闭角型青光眼的发病率远高于急性闭角型青光眼。这种类型的青光眼可能表现为原发性开角型青光眼,伴有视野恶化、视神经改变以及眼压升高,而眼部无疼痛症状。其诊断基于压陷式前房角镜检查显示周边前粘连。房角关闭的机制包括瞳孔阻滞、高褶虹膜构型和渐进性房角关闭。慢性闭角型青光眼的治疗基于激光周边虹膜切开术。