Srivastava Sudhir, Gupta Anshi, Fatima Tasneem, Dubey Shraddha, Srivastava Shivayan
Sun Eye Hospital and Lasik Laser Centre, Cataract and Refractive Unit, Lucknow, Uttar Pradesh, India.
Sun Eye Hospital and Lasik Laser Centre, Lucknow, Uttar Pradesh, India.
Oman J Ophthalmol. 2023 Feb 21;16(1):126-132. doi: 10.4103/ojo.ojo_391_20. eCollection 2023 Jan-Apr.
The case report of a 68-year-old man with a single-piece hydrophobic intraocular lens (IOL) implanted in the sulcus with posterior capsular rent in the right eye inducing secondary open-angle pigmentary glaucoma without individual hereditary steroid susceptibility. The clinical and diagnostic evaluations of the patient were thoroughly and specifically carried out. The unilateral pseudophakic open-angle pigmentary glaucoma developed in the long course in the context of rubbing of the haptics and optic of a hydrophobic IOL implanted in the sulcus, against the posterior surface of the iris, resulting in pigment dispersion, trabecular inflammation, and aqueous outflow obstruction. Although the clinical findings of our case were very similar to that of pigmentary glaucoma, the distinction between the two conditions was still quite easy, considering that pigmentary glaucoma is a bilateral disorder predominantly affecting young myopic men with Krukenberg's spindle and increased incidence of steroid responsiveness. It has been clearly distinguished from steroid-induced glaucoma based on the pigmented trabecular meshwork.
一名68岁男性患者的病例报告，其右眼在睫状沟植入单片式疏水人工晶状体（IOL）且后囊膜有撕裂，引发继发性开角型色素性青光眼，该患者无个体遗传性类固醇易感性。对该患者进行了全面且具体的临床和诊断评估。在长期病程中，植入睫状沟的疏水IOL的襻和光学部与虹膜后表面摩擦，导致色素播散、小梁炎症和房水流出受阻，进而发生单侧人工晶状体性开角型色素性青光眼。尽管我们病例的临床发现与色素性青光眼非常相似，但考虑到色素性青光眼是一种双侧性疾病，主要影响年轻近视男性，有 Krukenberg 梭，且类固醇反应性发生率增加，所以这两种情况的区分仍然相当容易。基于色素性小梁网，它已与类固醇性青光眼明确区分开来。
