Kommineni Usha Bhanu, Krishnamurthy Rashmi
LV Prasad Eye Institute, Venkata Lakshmi Eye Centre, Karamchedu, India.
Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care, LV Prasad Eye Institute, Hyderabad, India.
BMJ Case Rep. 2020 Feb 20;13(2):e233186. doi: 10.1136/bcr-2019-233186.
We report the case of a 64-year-old pseudophakic patient in a rural area who chronically suffered from headache with eye pain and was on analgesics for pain relief but never turned up to an ophthalmologist. There was lack of awareness to visit an ophthalmologist for headache as he thought that after undergoing cataract surgery, the role of ophthalmologist was limited. His approach to our centre was only after intense headache with sudden loss of vision. He had actually developed secondary glaucoma due to pupillary block angle closure as a late complication following yttrium aluminium garnet capsulotomy. After medical and surgical management, he regained his complete vision with total relief from headache.
我们报告了一例农村地区64岁的人工晶状体植入患者，该患者长期遭受头痛伴眼痛，一直服用镇痛药缓解疼痛，但从未去看过眼科医生。他缺乏因头痛而去看眼科医生的意识，因为他认为白内障手术后，眼科医生的作用有限。他是在剧烈头痛并突然失明后才来到我们中心的。实际上，他因钇铝石榴石晶状体囊切开术后的晚期并发症——瞳孔阻滞性房角关闭而患上了继发性青光眼。经过药物和手术治疗，他恢复了完全视力，头痛也完全缓解。
