Kapoor Bharat, Peh Khaik Kee, Raman S V
Royal Eye Infirmary, Plymouth Hospital NHS Trust, Plymouth, UK.
BMJ Case Rep. 2010 Aug 9;2010:bcr1220092511. doi: 10.1136/bcr.12.2009.2511.
Acute angle closure glaucoma (AACG) is a painful, potentially blinding condition with patients frequently presenting within hours of onset with ocular pain, nausea and vomiting. Argon laser pan-retinal photocoagulation (PRP) is one of the commonest ophthalmic outpatient procedures. It is used in the treatment of vascular disorders of the retina; most commonly diabetic retinopathy. AACG following PRP is a recognised, but rarely occurring, complication. Prompt treatment alleviates pain and improves visual prognosis. The authors report a case of AACG following PRP treatment which was initially mistaken for a viral illness.
急性闭角型青光眼(AACG)是一种疼痛性疾病,有潜在致盲风险,患者常在发病数小时内出现眼痛、恶心和呕吐症状。氩激光全视网膜光凝术(PRP)是最常见的眼科门诊手术之一。它用于治疗视网膜血管疾病;最常见的是糖尿病性视网膜病变。PRP术后发生AACG是一种已被认识但很少发生的并发症。及时治疗可缓解疼痛并改善视力预后。作者报告了一例PRP治疗后发生AACG的病例,该病例最初被误诊为病毒性疾病。