Sakima Nariko, Sakai Hiroshi, Nakamura Yoshimi, Shinjo Sayo, Tomoyose Eriko, Hayakawa Kazuhisa, Sawaguchi Shoichi
Department of Ophthalmology, Ryukyu University School of Medicine, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0125, Japan.
Nippon Ganka Gakkai Zasshi. 2004 Jan;108(1):38-43.
To report the results of ultrasound biomicroscopy(UBM) cases of ciliochoroidal effusion after a lens-induced glaucoma attack.
Case 1 was an 83-year-old female. She had shallow anterior chamber with expanded cataract with exfoliation in her right eye. Intraocular pressure(IOP) of the right eye was 64 mmHg. On the next day, IOP was reduced to 16 mmHg by conservative therapy. UBM showed circumference ciliochoroidal effusion in the right eye. On the 5th day, IOP increased to 38 mmHg. UBM was repeated and showed the disappearance of ciliochoroidal effusion. On the 9th day, phacoemulsification was done to treat the lens induced glaucoma attack. Two weeks after operation, IOP of the right eye was 6 mmHg and UBM showed ciliochoroidal effusion. Case 2 was an 85-year-old female. She had been diagnosed by an ophthalmologist as having an attack of lens-induced glaucoma in her left eye. IOP was 46 mmHg. When she was referred to us, IOP was decreased to 24 mmHg and ciliochoroidal effusion was observed in her left eye by UBM.
We report two cases of ciliochoroidal effusion associated with lens-induced glaucoma attack. UBM is useful to observe changes in the ciliary body after lens-induced glaucoma attack.
报告晶状体诱导性青光眼发作后睫状体脉络膜积液的超声生物显微镜检查(UBM)病例结果。
病例1为一名83岁女性。她右眼前房浅,伴有膨胀期白内障及晶状体囊膜剥脱。右眼眼压(IOP)为64 mmHg。次日,经保守治疗眼压降至16 mmHg。UBM显示右眼睫状体脉络膜周缘积液。第5天,眼压升至38 mmHg。再次进行UBM检查,显示睫状体脉络膜积液消失。第9天,行超声乳化术治疗晶状体诱导性青光眼发作。术后两周,右眼眼压为6 mmHg,UBM显示睫状体脉络膜积液。病例2为一名85岁女性。她被眼科医生诊断为左眼晶状体诱导性青光眼发作。眼压为46 mmHg。当她转诊至我们这里时,眼压降至24 mmHg,UBM观察到她左眼有睫状体脉络膜积液。
我们报告了两例与晶状体诱导性青光眼发作相关的睫状体脉络膜积液病例。UBM有助于观察晶状体诱导性青光眼发作后睫状体的变化。