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复杂葡萄膜炎性青光眼患者的手术治疗:一例报告

Surgical Management in a Patient With Complex Uveitic Glaucoma: A Case Report.

作者信息

Huang Zhu, Wang Xiao-Yu, Han Wei

机构信息

From the Department of Ophthalmology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Medicine (Baltimore). 2015 Aug;94(31):e1248. doi: 10.1097/MD.0000000000001248.

Abstract

Uveitic glaucoma (UG) is secondary glaucoma, present as a clinical challenge in both diagnosis and management.We report a case of complex UG, which initially presented as pupillary block and rupture of the anterior lens capsule. We performed cataract extraction with preservation of posterior capsule. Then, the case turned to aphakic malignant glaucoma. We performed anterior vitrectomy with posterior capsule resection in this case. After the second operation, the patient had a satisfactory recovery. Specifically, ultrasonographic biomicroscopy was useful during the diagnosis process and follow-up period in this case.UG presenting as pupillary block, rupture of the anterior lens capsule, and aqueous misdirection seldom presents in clinical practice. Earlier and more active surgical intervention may be necessary for effective preservation of visual function in complex cases of UG.

摘要

葡萄膜炎性青光眼(UG)是继发性青光眼,在诊断和治疗方面都是一项临床挑战。我们报告一例复杂的UG病例,该病例最初表现为瞳孔阻滞和晶状体前囊破裂。我们进行了保留后囊的白内障摘除术。随后,该病例转变为无晶状体恶性青光眼。我们对该病例进行了前部玻璃体切除术并切除后囊。第二次手术后,患者恢复良好。具体而言,在该病例的诊断过程和随访期间,超声生物显微镜检查很有用。表现为瞳孔阻滞、晶状体前囊破裂和房水错流的UG在临床实践中很少见。对于复杂的UG病例,可能需要更早且更积极的手术干预以有效保留视功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ee/4616600/b3473cc15391/medi-94-e1248-g001.jpg

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