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采用整块切除术治疗弥漫性上皮植入性黏液生成性继发性开角型青光眼。

Mucogenic secondary open-angle glaucoma in diffuse epithelial ingrowth treated by block-excision.

作者信息

Küchle M, Naumann G O

机构信息

Department of Ophthalmology, University of Erlangen-Nürnberg, Germany.

出版信息

Am J Ophthalmol. 1991 Feb 15;111(2):230-4. doi: 10.1016/s0002-9394(14)72264-0.

DOI:10.1016/s0002-9394(14)72264-0
PMID:1992745
Abstract

We treated a 40-year-old man with an acute, unilateral, open-angle glaucoma caused by a gelatinous translucent material in the anterior chamber. A clinical diagnosis of mucogenic secondary open-angle glaucoma caused by diffuse epithelial ingrowth after ocular trauma one year earlier was suspected, but a primary or secondary ciliary body or iris neoplasm could not be ruled out. A curative 9-mm block-excision was performed. Six years later, intraocular pressure was normal, and the visual function was unchanged. Light and electron microscopy disclosed an island of diffuse columnar epithelium with numerous goblet cells on the iris surface and copious mucinous material extending into the trabecular mesh-work.

摘要

我们治疗了一名40岁男性,其患有由前房内凝胶状半透明物质引起的急性、单侧开角型青光眼。怀疑是一年前眼外伤后弥漫性上皮内生导致的黏液性继发性开角型青光眼的临床诊断,但不能排除原发性或继发性睫状体或虹膜肿瘤。进行了9毫米的根治性肿物切除术。六年后,眼压正常,视功能未改变。光镜和电镜检查显示虹膜表面有一片弥漫性柱状上皮岛,有大量杯状细胞,大量黏液性物质延伸至小梁网。

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Mucogenic glaucoma in a child.儿童黏液生成性青光眼
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[Blunt ocular trauma. Part I: blunt anterior segment trauma].[钝性眼外伤。第一部分:钝性眼前段外伤]
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