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女性前房尺寸较小可能是恶性青光眼的一个诱发因素。

Lesser anterior chamber dimensions in women may be a predisposing factor for malignant glaucoma.

作者信息

Razeghinejad Mohammad Reza, Amini Heydar, Esfandiari Hossein

机构信息

Department of Ophthalmology, Khalili Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Med Hypotheses. 2005;64(3):572-4. doi: 10.1016/j.mehy.2004.07.035.

Abstract

Malignant glaucoma is a potentially devastating complication of intraocular surgery that may also occur spontaneously. In this condition the aqueous is diverted into the vitreous, so the Iris lens diaphragm is moved forward. This causes shall owing of the anterior chamber and increasing of intraocular pressure. By reviewing 103 patients with malignant glaucoma, the disease was more prevalent in women that men (70% vs 30%). Anterior chamber dimensions in the women is 4% lesser than the men. Therefore, it is hypothesized that these may be due to more anterior position of the lens which not only causes lesser dimension of the anterior chamber but also more cilio-lenticular block and further aqueous diversion into the vitreous cavity, in the women.

摘要

恶性青光眼是眼内手术一种潜在的严重并发症,也可能自发发生。在这种情况下,房水被引流到玻璃体中,因此虹膜晶状体隔向前移位。这导致前房变浅和眼压升高。通过回顾103例恶性青光眼患者,发现该疾病在女性中比男性更常见(70%对30%)。女性的前房尺寸比男性小4%。因此,据推测,这可能是由于女性晶状体位置更靠前,这不仅导致前房尺寸较小,还导致睫状体-晶状体阻滞增加,进而使更多房水引流到玻璃体腔中。

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