11例高度近视合并闭角型青光眼患者的临床分析
[Clinical analysis of 11 patients with high myopia and angle closure].
作者信息
Tian Yu, Cui Juanlian, Zhou Yu
机构信息
Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009 Aug;34(8):768-70.
OBJECTIVE
To investigate the pathogenesis and treatment of high myopia in patients with angle-closure glaucoma.
METHODS
Clinic data of 692 patients with angle closure glaucoma were analyzed retrospectively. Eleven patients with high myopia and angle closure underwent surgery.
RESULTS
Eleven patients with high myopia in the 692 angle-closure glaucoma were identified: 3 Weill-Marchesani syndrome, 1 plateau iris configuration and syndrome, 5 primary pupillary block, and 2 iris cyst. Intraocular pressure in 19 eyes of the 11 patients was successfully controlled after receiving phaco or filtering surgery.
CONCLUSION
Angle closure can occur in eyes with high myopia, and pupillary block may be the main cause of angle closure.
目的
探讨闭角型青光眼合并高度近视患者的发病机制及治疗方法。
方法
回顾性分析692例闭角型青光眼患者的临床资料。11例高度近视合并闭角型青光眼患者接受了手术。
结果
在692例闭角型青光眼患者中，确诊11例高度近视患者：3例Weill-Marchesani综合征，1例高原虹膜形态及综合征，5例原发性瞳孔阻滞，2例虹膜囊肿。11例患者的19只眼在接受超声乳化或滤过手术后眼压得到成功控制。
结论
高度近视患者可发生闭角，瞳孔阻滞可能是闭角的主要原因。
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