Einhorn Clinical Research Center, New York Eye and Ear Infirmary, New York University School of Medicine, New York, NY, USA.
J Glaucoma. 2011 Jun-Jul;20(5):294-7. doi: 10.1097/IJG.0b013e3181e664b0.
We report iridocorneal endothelial syndrome in a male who presented at the age of 16 years with a 3-year history of complaints of blurred vision, altered pupillary shape, and monocular diplopia OD. The examination was notable for unilateral effacement of the iris architecture, stretch holes, corectopia, and localized ectropion uveae. Intraocular pressures were 41 mm Hg OD and 10 mm Hg OS. Gonioscopy revealed intermittent areas of broad synechiae anterior to Schwalbe's line alternating with a clinically normal appearance. The left eye and angle were unremarkable. Specular microscopy confirmed the presence of unilateral endothelial pleomorphism and polymegathism. To our knowledge, this is the earliest reported case of iridocorneal endothelial syndrome in a young man.
我们报告了一例男性虹膜角膜内皮综合征病例，该患者 16 岁时出现视力模糊、瞳孔形状改变和单眼复视 OD 的症状，病史已有 3 年。检查发现单侧虹膜结构消失、拉伸孔、虹膜偏位和局部葡萄膜外翻。双眼眼压分别为 41mmHg 和 10mmHg。房角镜检查显示 Schwalbe 线前有间歇性广泛房角粘连，伴有临床正常外观交替出现。左眼和房角无明显异常。共焦显微镜证实存在单侧内皮多形性和多核症。据我们所知，这是首例报道的年轻男性虹膜角膜内皮综合征病例。
