Kato Renata Tiemi, Borba Paula Delegrego, Moura Christiane Rolim de, Allemann Norma, Moraes Nilva Simeren Bueno de
Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Arq Bras Oftalmol. 2017 Jul-Aug;80(4):260-262. doi: 10.5935/0004-2749.20170063.
We report a case of a 5-year-old girl with persistent fetal vasculature who presented with unilateral acute angle closure caused by aqueous misdirection syndrome that was apparently associated with regression of cycloplegia. Initial treatment with topical steroids, anti-glaucomatous drops, and atropine showed insufficient control of the intraocular pressure (IOP). Surgical treatment with lensectomy and vitrectomy resulted in satisfactory IOP control and no complications at the 6-month follow-up.
我们报告一例5岁患有持续性胎儿血管系统的女孩，其因房水错流综合征导致单侧急性闭角型青光眼，这显然与睫状肌麻痹的消退有关。最初使用局部类固醇、抗青光眼滴眼液和阿托品治疗，眼压（IOP）控制效果不佳。晶状体切除术和玻璃体切除术的手术治疗使眼压得到了满意的控制，且在6个月的随访中未出现并发症。
