Ruusuvaara P, Setälä K, Tarkkanen A, Mianowicz J
Department of Ophthalmology, University of Helsinki, Finland.
Acta Ophthalmol (Copenh). 1987 Oct;65(5):622-6.
We describe an unusual case of absolute bilateral phakolytic glaucoma. On admission for cataract surgery the 75-year-old patient was found to be totally blind, no light perception in either eye. The ocular tensions were about 75 mmHg in both eyes, corneas hazy, the fundi could not be seen. The swollen lens of the right eye had slightly subluxated downwards. In the left eye the ultrasound showed a luxated swollen lens in the vitreous space. The ultrasound also revealed totally excavated optic discs. This patient had been on the waiting list for 8 months. Information of the stage of the cataracts of patients on the waiting lists for operation is of paramount importance in the prevention of lens induced problems which may lead to irreversible visual deterioration.
我们描述了一例罕见的双侧绝对性晶状体溶解性青光眼病例。在因白内障手术入院时，发现这位75岁的患者完全失明，双眼无光感。双眼眼压约为75 mmHg，角膜混浊，眼底无法看清。右眼肿胀的晶状体向下轻度半脱位。左眼超声显示玻璃体腔内有一个脱位的肿胀晶状体。超声还显示视神经盘完全凹陷。该患者已在等候名单上等待了8个月。对于等待手术的患者，其白内障分期信息对于预防可能导致不可逆视力恶化的晶状体诱导问题至关重要。
