Pumphrey Stephanie
VCA South Shore, 595 Columbian Street, South Weymouth, MA 02190, USA.
Vet Clin North Am Small Anim Pract. 2015 Nov;45(6):1335-64, vii. doi: 10.1016/j.cvsm.2015.06.009. Epub 2015 Aug 28.
Secondary glaucomas are common in dogs, and occur due to obstruction of aqueous humor flow at the pupil, iridocorneal angle, or trabecular meshwork by numerous mechanisms. Secondary glaucoma is suspected based on examination findings, or presence of elevated IOP in an animal with a signalment inconsistent with primary glaucoma. Animals with secondary glaucoma require more diagnostic testing than animals with primary glaucoma. Management is challenging, and treatments used for primary glaucoma may be ineffective or even detrimental. Prognosis for vision and/or globe retention may be better than for primary glaucoma, particularly if underlying causes can be found and addressed promptly.
继发性青光眼在犬类中很常见,是由于多种机制导致房水在瞳孔、虹膜角膜角或小梁网处流动受阻而发生的。根据检查结果或在具有与原发性青光眼不符的病史的动物中出现眼压升高来怀疑继发性青光眼。与原发性青光眼的动物相比,继发性青光眼的动物需要更多的诊断测试。治疗具有挑战性,用于原发性青光眼的治疗方法可能无效甚至有害。视力和/或眼球保留的预后可能比原发性青光眼更好,特别是如果能及时找到并解决潜在病因的话。