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继发性开角型青光眼:葡萄膜炎性继发性青光眼、类固醇性青光眼、创伤后和术后青光眼、肿瘤相关性青光眼以及巩膜静脉压升高所致青光眼

[Secondary open-angle glaucoma: uveitic secondary glaucoma, steroid-induced glaucoma, posttraumatic and postoperative glaucoma, tumor-related glaucoma and glaucoma due to elevated episcleral venous pressure].

作者信息

Greslechner Roman, Helbig Horst, Spiegel Detlev

机构信息

Klinik und Poliklinik für Augenheilkunde, Klinikum, Universität Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

Augenzentrum München Süd, München, Deutschland.

出版信息

Ophthalmologe. 2022 May;119(5):533-546. doi: 10.1007/s00347-022-01630-6. Epub 2022 Apr 26.

Abstract

Secondary open-angle glaucomas are a heterogeneous group of diseases in which a variety of pathophysiological mechanisms result in an elevation of intraocular pressure (IOP). In contrast to primary open-angle glaucoma in many cases besides IOP reduction a causal treatment is possible. This article is the second part of a review of the more frequently encountered forms of secondary open-angle glaucoma. Uveitic glaucoma, steroid-induced glaucoma, posttraumatic and postoperative glaucoma, glaucoma due to intraocular tumors and caused by elevated episcleral venous pressure are covered. The underlying pathophysiological mechanisms, characteristic clinical findings and treatment options are discussed.

摘要

继发性开角型青光眼是一组异质性疾病,多种病理生理机制导致眼压(IOP)升高。与原发性开角型青光眼不同,在许多情况下,除了降低眼压外,还可以进行病因治疗。本文是继发性开角型青光眼较常见形式综述的第二部分。涵盖了葡萄膜炎性青光眼、类固醇性青光眼、外伤性和术后青光眼、眼内肿瘤所致青光眼以及巩膜静脉压升高所致青光眼。讨论了其潜在的病理生理机制、特征性临床表现和治疗选择。

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