Brooks D E
Department of Urban Practice, University of Tennessee College of Veterinary Medicine, Knoxville.
Vet Clin North Am Small Anim Pract. 1990 May;20(3):775-97. doi: 10.1016/s0195-5616(90)50062-5.
Conjunctivitis, mydriasis, corneal edema, lens luxation, buphthalmos, and blindness are caused by elevated IOP in the glaucomas. Primary glaucomas with a bilateral potential for development are noted in two cats and several dog breeds, with secondary glaucomas caused by uveitis and neoplasia common in the cat and dog. Tonometric evaluation is essential for the early diagnosis and management of glaucoma. Medical therapy of topical demecarium bromide and timolol maleate, with systemic dichlorphenamide, are recommended for general glaucoma maintenance therapy in dogs and cats. Transcleral cyclophotocoagulation will surgically reduce IOP in cases in which maximum medication has been reached.
青光眼患者眼压升高会导致结膜炎、瞳孔散大、角膜水肿、晶状体脱位、眼球增大和失明。在两只猫和几个犬种中发现有双侧发病可能的原发性青光眼,而葡萄膜炎和肿瘤引起的继发性青光眼在猫和犬中较为常见。眼压测量评估对于青光眼的早期诊断和治疗至关重要。推荐使用局部溴化地美卡林和马来酸噻吗洛尔进行药物治疗,并配合全身使用二氯苯磺胺,用于犬猫青光眼的一般维持治疗。对于药物治疗已达最大剂量的病例,经巩膜睫状体光凝术可通过手术降低眼压。