Ang Ghee Soon, Goh Yi Wei, Azuara-Blanco Augusto
Department of Ophthalmology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, UK.
Cases J. 2010 Feb 10;3:55. doi: 10.1186/1757-1626-3-55.
Patients with spontaneous lens dislocation and glaucoma can be challenging to manage. We present a forty-six year old Caucasian lady who was referred with bilateral high intraocular pressure, and was subsequently diagnosed with glaucoma in association with lens dislocation and Marfan syndrome. Baerveldt glaucoma drainage device tubes were inserted in both eyes due to poor response to medical therapy. However, this was complicated by recurrent vitreous occlusion of both glaucoma drainage tubes requiring further multiple surgical interventions. There have not been any further recurrences of vitreous incarceration or posterior segment complications since, but the patient remains under close follow-up.
患有自发性晶状体脱位和青光眼的患者管理起来颇具挑战性。我们介绍一位46岁的白种女性，她因双侧高眼压前来就诊，随后被诊断为青光眼合并晶状体脱位和马凡综合征。由于药物治疗效果不佳，双眼均植入了贝尔维尔德特青光眼引流装置管。然而，这一过程出现了并发症，即青光眼引流管反复被玻璃体阻塞，需要进一步多次手术干预。自那以后，玻璃体嵌顿或眼后段并发症未再复发，但该患者仍在密切随访中。
