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恶性青光眼的治疗:文献综述

Malignant glaucoma management: literature review.

作者信息

Fekih Olfa, Zgolli Hsouna Mehdi, Mabrouk Sonya, Abdejelil Aymen, Zeghal Imene, Nacef Leila

出版信息

Tunis Med. 2019 Aug-Sep;97(8-9):945-949.

Abstract

Malignant glaucoma remains a challenging complications of ocular surgery. It has been reported to occur spontaneously or after any ophthalmic procedure, it is most commonly encountered after glaucoma surgery. The clinical diagnosis is made in the setting of a patent peripheral iridotomy and axial flattening of the anterior chamber. Intraocular pressure is usually elevated, but it may be normal in some cases. The exact etiology of this condition is not fully understood, several mechanisms have been proposed. This review discusses pathophysiology, differential diagnosis, imaging modalities, and current treatment strategies for this rare form of secondary glaucoma.

摘要

恶性青光眼仍然是眼科手术中具有挑战性的并发症。据报道,它可自发发生或在任何眼科手术后出现,最常见于青光眼手术后。临床诊断是在周边虹膜切开术通畅且前房轴长变平的情况下做出的。眼压通常会升高,但在某些情况下可能正常。这种情况的确切病因尚未完全明确,已提出了几种机制。本文综述讨论了这种罕见的继发性青光眼的病理生理学、鉴别诊断、影像学检查方法以及当前的治疗策略。

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