Department of Emergency Medicine, North Shore University Hospital - Northwell Health, Manhasset, New York.
Department of Emergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
J Emerg Med. 2020 Dec;59(6):e235-e237. doi: 10.1016/j.jemermed.2020.08.015. Epub 2020 Sep 29.
Acute angle-closure glaucoma (AACG) caused by vitreous hemorrhage is a rare complication of intravitreal injection that often leads to permanent vision loss without prompt treatment.
This is a case of vitreous hemorrhage with secondary AACG in an 80-year-old man who presented to the emergency department (ED) with pain and vision loss in his left eye after undergoing intravitreal injection to treat exudative macular degeneration. The diagnosis was made with the use of point-of-care ultrasound after intraocular pressure (IOP) was found to be significantly elevated in the left eye. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should have a high level of suspicion for AACG in patients who are diagnosed with a vitreous hemorrhage after intravitreal injection and should immediately measure IOP for elevation upon presentation to the ED.
玻璃体积血引起的急性闭角型青光眼（AACG）是眼内注射的一种罕见并发症，常导致永久性视力丧失，如果不及时治疗。
这是一例 80 岁男性玻璃体积血继发 AACG 的病例，该患者因接受眼内注射治疗渗出性黄斑变性后左眼疼痛和视力丧失而到急诊科就诊。在发现左眼眼压显著升高后，使用即时护理超声进行诊断。
为什么急诊医生应该注意这一点？：对于接受眼内注射后被诊断为玻璃体积血的患者，急诊医生应高度怀疑 AACG，并应在就诊时立即测量眼压升高。
