Egbert J E, Kushner B J
Department of Ophthalmology, University of Wisconsin, Madison.
Arch Ophthalmol. 1990 Sep;108(9):1257-9. doi: 10.1001/archopht.1990.01070110073027.
We present the cases of four patients in whom juvenile aphakic glaucoma developed. An excessive loss of hyperopia was the initial clinical sign that alerted us to the diagnosis of glaucoma. At the time of diagnosis, the mean refractive error of the six glaucomatous eyes in the four patients was +4.75 diopters (D) (range, -0.25 to +6.75 D). The mean change in refraction from time of cataract extraction to diagnosis of juvenile aphakic glaucoma was 17.00 D (range, 9.25 to 21.00 D). All aphakic patients in the private practice of one of us (B.J.K.) with a spherical equivalent of less than +8.00 D in either eye have glaucoma. The only exception are those patients with a coexisting condition predisposing them to myopia. We have found an excessive loss of hyperopia to be a useful sign in alerting the ophthalmologist to the diagnosis of juvenile aphakic glaucoma.
我们报告了4例发生青少年无晶状体性青光眼的患者。远视过度丧失是提醒我们诊断青光眼的最初临床体征。在诊断时，这4例患者的6只青光眼眼中平均屈光不正为+4.75屈光度（D）（范围为-0.25至+6.75 D）。从白内障摘除到青少年无晶状体性青光眼诊断时的平均屈光变化为17.00 D（范围为9.25至21.00 D）。我们中的一人（B.J.K.）私人诊所中任何一只眼睛等效球镜度小于+8.00 D的所有无晶状体患者均患有青光眼。唯一的例外是那些有导致近视的共存疾病的患者。我们发现远视过度丧失是提醒眼科医生诊断青少年无晶状体性青光眼的一个有用体征。
