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头部外伤可导致开角型青光眼患者眼压短暂升高。

Head trauma can cause transient elevation of intraocular pressure in patients with open angle glaucoma.

作者信息

Wei Hong, Spaeth George L

机构信息

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

Int J Ophthalmol. 2011;4(3):298-302. doi: 10.3980/j.issn.2222-3959.2011.03.18. Epub 2011 Jun 18.

Abstract

AIM

To describe a newly-recognized entity, illustrated by five cases of glaucoma in whom trauma to the head, but not the eye, resulted in marked, transient elevation of intraocular pressure (IOP).

METHODS

Retrospective case series. Chart review.

RESULTS

All five cases had a diagnosis of primary open-angle glaucoma prior to the experience of trauma to the head. All cases had an unusual elevation of IOP (around 70 percent) for days to weeks following the trauma, after which the IOP fell to pre-accident levels. No cause other than the trauma could be determined.

CONCLUSION

The relationship between head trauma and elevation of IOP appears real.

摘要

目的

描述一种新发现的情况,通过5例青光眼病例进行说明,这些病例头部受到创伤,但眼部未受创伤,却导致眼内压(IOP)显著短暂升高。

方法

回顾性病例系列研究。查阅病历。

结果

所有5例病例在头部受伤前均被诊断为原发性开角型青光眼。所有病例在受伤后数天至数周内眼压出现异常升高(约70%),之后眼压降至事故前水平。除创伤外未发现其他原因。

结论

头部创伤与眼压升高之间的关系似乎是真实存在的。

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本文引用的文献

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Ocular trauma and glaucoma.
Int Ophthalmol Clin. 2008 Fall;48(4):47-64. doi: 10.1097/IIO.0b013e318187fcb8.
9
Ocular trauma-related glaucoma.
Ophthalmol Clin North Am. 2002 Jun;15(2):215-23. doi: 10.1016/s0896-1549(02)00011-1.

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